Collier Boulevard Hma Physician Management Llc

LBN: Collier Boulevard Hma Physician Management Llc
Collier Boulevard Hma Physician Management Llc is an health care organization with primary practice located at 24231 Walden Center Dr Ste 201 , Bonita Springs FL 34134-5012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Collier Boulevard Hma Physician Management Llc can be contacted via phone (239) 348-4221, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
24231 Walden Center Dr Ste 201 Bonita Springs FL 34134-5012
Fax: (239) 390-2486
Website:
Authorized official contact:
Name: Jackson, Jennifer L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1134797202
LBN Legal business name Collier Boulevard Hma Physician Management Llc
DBA Doing business as Collier Boulevard Hma Physician Management Llc
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2021
Last updated Mar 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134797202 NPPES
Florida MEDICAID 001609609

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