PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC NPI 1124697743

NPI Information

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC is an obstetrics gynecology in Arcadia, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC NPI is 1124697743. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1012 N MILLS AVE
ARCADIA, FL
ZIP 34266-811
Phone: (941) 766-0400
Fax: (941) 766-1009

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 6/18/2021 and was last updated on 6/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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