Gulf Coast Hma Physician Management LLC

NPI #1407806094 in Venice, Florida

Provider Information

NPI Number: 1407806094
Entity Type: Organization
Organization Name: Gulf Coast Hma Physician Management LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTH MANAGEMENT ASSOCIATES, INC
Primary Specialty: Internal Medicine
Enumeration Date: May 12, 2006
Last Updated: Mar 14, 2022

Practice Location

Address: 1101 TAMIAMI TRL S
Address 2: SUITE 101
City: Venice
State: Florida
ZIP Code: 34285-4133
Phone: (941) 480-2831

Authorized Official

Name: JENNIFER L JACKSON
Title: SR. DIRECTOR PROVIDER ENROLLMENT
Phone: (615) 465-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Neurological Surgery	207T00000X
Obstetrics & Gynecology	207V00000X
Surgery	208600000X
General Practice	208D00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Internal Medicine	207R00000X	Primary

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