Gulf Coast Hma Physician Management Llc

LBN: Gulf Coast Hma Physician Management Llc
Gulf Coast Hma Physician Management Llc is an health care organization with primary practice located at 836 Sunset Lake Blvd Ste 102 , Venice FL 34292-7555. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Gulf Coast Hma Physician Management Llc can be contacted via phone (941) 497-1771, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
836 Sunset Lake Blvd Ste 102 Venice FL 34292-7555
Phone: (941) 497-1771
Fax: (941) 497-1860
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1114695087
LBN Legal business name Gulf Coast Hma Physician Management Llc
DBA Doing business as Gulf Coast Hma Physician Management Llc
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114695087 NPPES
Florida MEDICAID PENDING

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