Jacaranda Primary Care
LBN: Gulf Coast Hma Physician Management Llc
Jacaranda Primary Care is an health care organization with primary practice located at 8431 Pointe Loop Dr # 1 , Venice FL 34293-2232. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Gulf Coast Hma Physician Management Llc can be contacted via phone (941) 483-7651, or through Jackson, Jennifer L via phone (615) 465-3334.
Contact Information
Primary practice address
8431 Pointe Loop Dr # 1
Venice FL 34293-2232
Phone: (941) 483-7651
Fax: (941) 483-7699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1750953816 |
|---|---|
| LBN Legal business name | Gulf Coast Hma Physician Management Llc |
| DBA Doing business as | Jacaranda Primary Care |
| Authorized official | Jackson, Jennifer L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2021 |
| Last updated | Mar 15th, 2022 - about 3 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 | 1750953816 | NPPES |
| Florida | MEDICAID | 277033426 |
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