Port Charlotte Hma Physician Management LLC
NPI #1053983338 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1053983338
- Entity Type
- Organization
- Organization Name
- Port Charlotte Hma Physician Management LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 3067 TAMIAMI TRL STE 2
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-6619
- Phone
- (941) 225-8351
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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