Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collier Boulevard Hma Physician Management LLC

Organization Family Medicine Physician · NPI 1083382352

Collier Boulevard Hma Physician Management LLC is a Family Medicine Physician in Naples, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6376 Pine Ridge Rd
Naples, FL 34119-3905
Phone: (239) 348-4221
Fax: (615) 469-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Surgery Physician Taxonomy 208600000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1083382352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Collier Boulevard Hma Physician Management Llc; Collier Boulevard Hma Physician Management Llc
NPI enumeratedSeptember 1, 2021
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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