Port Charlotte Hma Physician Management LLC

NPI #1366215170 in Venice, Florida

Provider Information

NPI Number
1366215170
Entity Type
Organization
Organization Name
Port Charlotte Hma Physician Management LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Nov 2, 2023
Last Updated
Nov 2, 2023

Practice Location

Address
1201 JACARANDA BLVD
City
Venice
State
Florida
ZIP Code
34292-4535
Phone
(941) 497-7800

Authorized Official

Name
KRISTY MUSIC
Title
DIRECTOR, PROVIDER ENROLLMENT
Phone
(615) 465-7377

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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