| NPI | 1477124469 |
|---|---|
| Doing Business As | COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | PHYSICIANS REGIONAL MEDICAL GROUP-COLLIER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-03-09 |