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 1839 San Marco Rd , Marco Island FL 34145-6722. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Collier Boulevard Hma Physician Management Llc can be contacted via phone (239) 394-1670, or through Jackson, Jennifer L via phone (615) 465-3334.
Contact Information
Primary practice address
1839 San Marco Rd
Marco Island FL 34145-6722
Phone: (239) 394-1670
Fax: (239) 394-1677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1952979080 |
|---|---|
| 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 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952979080 | NPPES |
| Florida | MEDICAID | 001609604 |
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