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COLLIER HMA PHYSICIAN MANAGEMENT LLC NPI 1003484890


NPI Information

NPI: 1003484890
Provider Name: COLLIER HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: COLLIER HMA PHYSICIAN MANAGEMENT LLC

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 10D2138182

Address:
8340 COLLIER BLVD STE 202
NAPLES, FL
ZIP 34114
Phone: (239) 348-4221
Get Directions

COLLIER HMA PHYSICIAN MANAGEMENT LLC is a vascular surgery surgery in Naples, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. COLLIER HMA PHYSICIAN MANAGEMENT LLC NPI is 1003484890. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Collier Hma Physician Management Llc.

The provider's business location address is:

8340 COLLIER BLVD STE 202
NAPLES, FL
ZIP 34114-589
Phone: (239) 348-4221
Fax: (239) 348-4213

The provider's authorized official is Kristina Music .
The authorized official title is Dir Provider Enrollment and has the following contact phone number (615) 465-7377.

The CLIA number assigned to this NPI record is 10D2138182 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2021 and was last updated on 10/6/2023.


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
12086S0129XSurgeryVascular SurgeryYes

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
1275883127MEDICAIDFLORIDA

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

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