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 3508 Tamiami Trl , Port Charlotte FL 33952-8160. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Port Charlotte Hma Physician Management Llc can be contacted via phone (941) 883-3313, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
3508 Tamiami Trl Port Charlotte FL 33952-8160
Phone: (941) 883-3313
Fax: (941) 883-3320
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1295304822
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295304822 NPPES
Florida MEDICAID 278507213

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