| NPI | 1912575077 |
|---|---|
| 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 | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-03-14 |