Gulf Coast Medical Group North Port Primary Care
LBN: Gulf Coast Hma Physician Management Llc
Gulf Coast Medical Group North Port Primary Care is an health care organization with primary practice located at 18659 Tamiami Trl Ste A , North Port FL 34287-7388. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Gulf Coast Hma Physician Management Llc can be contacted via phone (941) 429-3416, or through Jackson, Jennifer L via phone (615) 465-3334.
Contact Information
Primary practice address
18659 Tamiami Trl Ste A
North Port FL 34287-7388
Phone: (941) 429-3416
Fax: (941) 429-3430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X |
Profile Details
| NPI number | 1013685973 |
|---|---|
| LBN Legal business name | Gulf Coast Hma Physician Management Llc |
| DBA Doing business as | Gulf Coast Medical Group North Port Primary Care |
| Authorized official | Jackson, Jennifer L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 3rd, 2021 |
| Last updated | Mar 14th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013685973 | NPPES |
| Florida | MEDICAID | PENDING |
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