| NPI | 1376114397 |
|---|---|
| Doing Business As | PHYSICIANS REGIONAL MEDICAL GROUP-COLLIER |
| Doing Business As | COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-03-09 |