COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
NPI 1134797202
Orthopaedic Surgery in Bonita Springs, FL

Active since June 15, 2021
24231 WALDEN CENTER DR STE 201, BONITA SPRINGS, FL 34134(239) 348-4221(239) 390-2486 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2022, Aug 4, 2021, Jun 15, 2021 (3 updates tracked since 2021).

About Collier Boulevard Hma Physician Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC (NPI 1134797202) is a healthcare organization registered as an orthopaedic surgery in Bonita Springs, Florida and active in the NPI registry since June 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1134797202
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCOLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Location Address24231 WALDEN CENTER DR STE 201Bonita Springs, FL 34134-5012
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Fax(239) 390-2486
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 15, 2021
Last NPPES UpdateMarch 9, 20223 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1134797202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
24231 WALDEN CENTER DR STE 201, Bonita Springs, FL 34134

Other Names 2

Doing Business AsCollier Boulevard Hma Physician Management Llc
Doing Business AsPhysicians Regional - Bonita Springs

Other Identifiers 1

Medicaid001609609FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL 34134
Pain Medicine (Pain Medicine)
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Orthopaedic Surgery
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Physical Medicine & Rehabilitation (Pain Medicine)
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Orthopaedic Surgery
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL 34134
Physician Assistant
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134
Specialist
24231 WALDEN CENTER DR STE 201
BONITA SPRINGS, FL 34134
Nurse Practitioner (Family)
24231 WALDEN CENTER DR STE 201
ESTERO, FL 34134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collier Boulevard Hma Physician Management LLC's NPI number?

The NPI number for Collier Boulevard Hma Physician Management LLC is 1134797202. It was assigned to this organization in the NPPES registry on June 15, 2021. The provider is doing business as Physicians Regional - Bonita Springs.

Where is Collier Boulevard Hma Physician Management LLC located?

Collier Boulevard Hma Physician Management LLC is located at 24231 Walden Center Dr Ste 201, Bonita Springs, FL 34134. The listed phone number is (239) 348-4221.

What is Collier Boulevard Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Collier Boulevard Hma Physician Management LLC was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.