Port Charlotte Hma Physician Management LLC
NPI #1295304822 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1295304822
- Entity Type
- Organization
- Organization Name
- Port Charlotte Hma Physician Management LLC
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Enumeration Date
- Jun 18, 2021
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 3508 TAMIAMI TRL
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-8160
- Phone
- (941) 883-3313
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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