NPI | 1710555818 |
---|---|
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 | 208D00000X General Practice |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2021-06-15 |
Last Update Date | 2022-03-14 |