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 1477126621

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
4
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 Unit 110
Naples, FL 34119-3905
Phone: (209) 348-4221
Fax: (239) 394-1677
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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
Adult Medicine Physician Taxonomy 207QA0505X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1477126621
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 enumeratedJuly 23, 2021
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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