COLLIER HMA PHYSICIAN MANAGEMENT LLC NPI 1194393959

NPI Information

  • NPI: 1194393959
  • Provider Name: COLLIER HMA PHYSICIAN MANAGEMENT LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: COLLIER HMA PHYSICIAN MANAGEMENT LLC
  • CLIA Number: 10D2169351
  • Address: 4525 THOMASSON DR STE 104
    NAPLES, FL
    ZIP 34112
  • Phone: (239) 348-4221

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NPI Details

COLLIER HMA PHYSICIAN MANAGEMENT LLC is an internal medicine in Naples, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COLLIER HMA PHYSICIAN MANAGEMENT LLC NPI is 1194393959. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Collier Hma Physician Management Llc.

The provider's business location address is:

4525 THOMASSON DR STE 104
NAPLES, FL
ZIP 34112-963
Phone: (239) 348-4221
Fax: (239) 348-4203

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The CLIA number assigned to this NPI record is 10D2169351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2021 and was last updated on 3/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207X00000XOrthopaedic SurgeryNo
3363A00000XPhysician AssistantNo
4363AM0700XPhysician AssistantMedicalNo
5363AS0400XPhysician AssistantSurgicalNo
6363L00000XNurse PractitionerNo
7363LA2200XNurse PractitionerAdult HealthNo
8363LF0000XNurse PractitionerFamilyNo
9207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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