Port Charlotte Hma Physician Management LLC
NPI #1740859461 in Punta Gorda, Florida
Provider Information
- NPI Number
- 1740859461
- Entity Type
- Organization
- Organization Name
- Port Charlotte Hma Physician Management LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jun 18, 2021
- Last Updated
- Mar 18, 2022
Practice Location
- Address
- 713 E MARION AVE STE 139
- City
- Punta Gorda
- State
- Florida
- ZIP Code
- 33950-3863
- Phone
- (941) 833-1760
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DR PROV ENROLLMENT & ONLOADING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Obstetrics & Gynecology — Obstetrics & Gynecology |
| Obstetrics & Gynecology |
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