Punta Gorda Hma Physician Management LLC

NPI #1962075333 in Punta Gorda, Florida

Provider Information

NPI Number
1962075333
Entity Type
Organization
Organization Name
Punta Gorda Hma Physician Management LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jul 22, 2021
Last Updated
Mar 16, 2022

Practice Location

Address
713 E MARION AVE STE 131
State
Florida
ZIP Code
33950-3868
Phone
(941) 575-1414

Authorized Official

Name
JENNIFER L JACKSON
Title
SR DIR PROV ENROLLMENT & ONBOARDING
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Surgery
Internal Medicine

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