Physicians Regional Medical Group

LBN: Collier Hma Physician Management Llc
Physicians Regional Medical Group is an health care organization with primary practice located at 24231 Walden Center Dr Ste 201 , Estero FL 34134-5012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Collier Hma Physician Management Llc can be contacted via phone (239) 348-4420, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
24231 Walden Center Dr Ste 201 Estero FL 34134-5012
Phone: (239) 348-4420
Fax: (239) 390-2486
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1164090874
LBN Legal business name Collier Hma Physician Management Llc
DBA Doing business as Physicians Regional Medical Group
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2021
Last updated Mar 8th, 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 1164090874 NPPES
Florida MEDICAID 275883117

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