COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC NPI 1639842453

NPI Information

  • NPI: 1639842453
  • Provider Name: COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Doing Business As: COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
  • Address: 8340 COLLIER BLVD STE 103
    NAPLES, FL
    ZIP 34114
  • Phone: (239) 348-4221

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NPI Details

COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC is an orthopaedic surgery in Naples, FL. The provider is 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. COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC NPI is 1639842453. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Collier Boulevard Hma Physician Management Llc.

The provider's business location address is:

8340 COLLIER BLVD STE 103
NAPLES, FL
ZIP 34114-589
Phone: (239) 348-4221
Fax: (239) 417-9567

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 7/28/2021 and was last updated on 3/14/2022.

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
1363AM0700XPhysician AssistantMedicalNo
2363AS0400XPhysician AssistantSurgicalNo
3208D00000XGeneral PracticeNo
4208VP0000XPain MedicinePain MedicineNo
5363A00000XPhysician AssistantNo
6207X00000XOrthopaedic 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
1001609622MEDICAIDFLORIDA

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: 3/30/2025

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