Port Charlotte Hma Physician Management LLC
NPI #1871218966 in Punta Gorda, Florida
Provider Information
- NPI Number
- 1871218966
- Entity Type
- Organization
- Organization Name
- Port Charlotte Hma Physician Management LLC
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Oct 11, 2022
- Last Updated
- Oct 11, 2022
Practice Location
- Address
- 713 E MARION AVE STE 123
- City
- Punta Gorda
- State
- Florida
- ZIP Code
- 33950-3862
- Phone
- (941) 766-5099
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIR ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Surgery - Vascular Surgery — Vascular Surgery |
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