| NPI | 1639842453 |
|---|---|
| Doing Business As | COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | PHYSICIANS REGIONAL - COLLIER BLVD |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2022-03-14 |