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COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
NPI 1710555818
General Practice in Estero, FL

Active since June 15, 2021
24231 WALDEN CENTER DR STE 160, ESTERO, FL 34134(239) 348-4221(239) 348-4529 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1710555818) is a healthcare organization registered as a general practice in Estero, 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

NPI1710555818
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCOLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Location Address24231 WALDEN CENTER DR STE 160Estero, FL 34134-5011
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(239) 348-4221
Fax(239) 348-4529
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 15, 2021
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1710555818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse PractitionerTaxonomy 363L00000X
24231 WALDEN CENTER DR STE 160, Estero, FL 34134
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Other Names 1

Doing Business AsCollier Boulevard Hma Physician Management Llc

Other Identifiers 1

Medicaid001609630FL

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 (Gastroenterology)
24231 WALDEN CENTER DR STE 160
ESTERO, FL 34134
Lee County (239) 348-4212

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 1710555818. It was assigned to this organization in the NPPES registry on June 15, 2021.

Where is Collier Boulevard Hma Physician Management LLC located?

Collier Boulevard Hma Physician Management LLC is located at 24231 Walden Center Dr Ste 160, Estero, 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 General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Collier Boulevard Hma Physician Management LLC was last updated on March 14, 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.