| NPI | 1407428238 |
|---|---|
| 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 | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-03-09 |