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
- City
- North Port
- 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 - Gastroenterology — Gastroenterology |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Internal Medicine - Rheumatology — Rheumatology |
| Orthopaedic Surgery |
| Podiatrist |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Gerontology — Gerontology |
| Family Medicine |
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| Ovidiu Grigoras, M.D., PH.D. | |
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