| NPI | 1720659840 |
|---|---|
| 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 | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-03-14 |