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 3440 Tamiami Trl Unit 1 , Port Charlotte FL 33952-8134. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Port Charlotte Hma Physician Management Llc can be contacted via phone (941) 258-9500, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
3440 Tamiami Trl Unit 1 Port Charlotte FL 33952-8134
Fax: (941) 258-9501
Website:
Authorized official contact:
Name: Jackson, Jennifer L

Profile Details

NPI number 1467129791
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 Aug 25th, 2021
Last updated Jul 25th, 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 1467129791 NPPES
Florida MEDICAID PENDING

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