Organization
COLLIER HMA PHYSICIAN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD STE 114, NAPLES, FL 34119-3900
(239) 348-4221
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8515
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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