| Collier Hma Physician Manangement, Inc. | |
|
9240 Bonita Beach Rd Se Suite 2206 Bonita Springs FL 34135-4249 | |
| (239) 948-5505 | |
| (239) 948-5583 |
| Full Name | Collier Hma Physician Manangement, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9240 Bonita Beach Rd Se, Bonita Springs, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Hma Physician Manangement, Inc. 9240 Bonita Beach Rd Se Suite 2206 Bonita Springs FL 34135-4249 Ph: (239) 948-5505 | Collier Hma Physician Manangement, Inc. 9240 Bonita Beach Rd Se Suite 2206 Bonita Springs FL 34135-4249 Ph: (239) 948-5505 |
| NPI Number | 1619064813 |
|---|---|
| Provider Enumeration Date | 10/07/2006 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619064813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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