Gulf Coast Hma Physician Management LLC

NPI #1013685973 in North Port, Florida

Provider Information

NPI Number
1013685973
Entity Type
Organization
Organization Name
Gulf Coast Hma Physician Management LLC
Primary Specialty
Family Medicine
Enumeration Date
Sep 3, 2021
Last Updated
Mar 14, 2022

Practice Location

Address
18659 TAMIAMI TRL STE A
State
Florida
ZIP Code
34287-7388
Phone
(941) 429-3416

Authorized Official

Name
JENNIFER L JACKSON
Title
SR DR PROV ENROLLMENT & ONBOARDING
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Surgery
Internal Medicine - GastroenterologyGastroenterology
Internal Medicine - Pulmonary DiseasePulmonary Disease
Internal Medicine - RheumatologyRheumatology
Orthopaedic Surgery
Podiatrist
Nurse Practitioner - FamilyFamily
Nurse Practitioner - GerontologyGerontology
Family Medicine

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