Port Charlotte Hma Physician Management Llc

LBN: Port Charlotte Hma Physician Management Llc
Port Charlotte Hma Physician Management Llc is an health care organization with primary practice located at 1012 N Mills Ave , Arcadia FL 34266-8811. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Port Charlotte Hma Physician Management Llc can be contacted via phone (941) 766-0400, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
1012 N Mills Ave Arcadia FL 34266-8811
Phone: (941) 766-0400
Fax: (941) 766-1009
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X

Profile Details

NPI number 1124697743
LBN Legal business name Port Charlotte Hma Physician Management Llc
DBA Doing business as Port Charlotte Hma Physician Management Llc
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2021
Last updated Mar 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124697743 NPPES
Florida MEDICAID 102610201

Popular Providers