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COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
NPI 1205404498
Family Medicine in Naples, FL

Active since June 14, 2021
4525 THOMASSON DR STE 104, NAPLES, FL 34112(239) 348-4221(239) 348-4203 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Jun 14, 2021 (2 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 1205404498) is a healthcare organization registered as a family medicine in Naples, 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

NPI1205404498
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Location Address4525 THOMASSON DR STE 104Naples, FL 34112-6963
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(239) 348-4221
Fax(239) 348-4203
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 14, 2021
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1205404498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedUrologyTaxonomy 208800000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4525 THOMASSON DR STE 104, Naples, FL 34112
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Other Names 1

Doing Business AsCollier Boulevard Hma Physician Management Llc

Other Identifiers 1

Medicaid001609632FL

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

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

COLLIER HMA PHYSICIAN MANAGEMENT LLC
Internal Medicine
4525 THOMASSON DR STE 104
NAPLES, FL 34112
Collier County (239) 348-4221

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 1205404498. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Collier Boulevard Hma Physician Management LLC located?

Collier Boulevard Hma Physician Management LLC is located at 4525 Thomasson Dr Ste 104, Naples, FL 34112. 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 Family Medicine with taxonomy code 207Q00000X.

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.