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COLLIER HMA PHYSICIAN MANAGEMENT LLC NPI 1578135083


NPI Information

NPI: 1578135083
Provider Name: COLLIER HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: PHYSICIANS REGIONAL MEDICAL CENTER - COLLIER BOULEVARD

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
8300 COLLIER BLVD
NAPLES, FL
ZIP 34114
Phone: (239) 348-4421
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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 1578135083. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Physicians Regional Medical Center - Collier Boulevard.

The provider's business location address is:

8300 COLLIER BLVD
NAPLES, FL
ZIP 34114-549
Phone: (239) 348-4421
Fax: (239) 348-4529

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 enumeration date for this NPI number is 7/14/2021 and was last updated on 3/9/2022.


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
12084N0400XPsychiatry & NeurologyNeurologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
32085R0204XRadiologyVascular & Interventional RadiologyNo
4208600000XSurgeryNo
5208C00000XColon & Rectal SurgeryNo
6207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
7363A00000XPhysician AssistantNo
8363AM0700XPhysician AssistantMedicalNo
9363AS0400XPhysician AssistantSurgicalNo
10363L00000XNurse PractitionerNo
11207RG0100XInternal MedicineGastroenterologyNo
12207V00000XObstetrics & GynecologyNo
13207W00000XOphthalmologyNo
14207X00000XOrthopaedic SurgeryNo
15207R00000XInternal 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.