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GULF COAST HMA PHYSICIAN MANAGEMENT LLC NPI 1538730379


NPI Information

NPI: 1538730379
Provider Name: GULF COAST HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: GULF COAST HMA PHYSICIAN MANAGEMENT LLC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1370 E VENICE AVE STE 202
VENICE, FL
ZIP 34285
Phone: (941) 480-0500
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GULF COAST HMA PHYSICIAN MANAGEMENT LLC is an internal medicine in Venice, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GULF COAST HMA PHYSICIAN MANAGEMENT LLC NPI is 1538730379. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Gulf Coast Hma Physician Management Llc.

The provider's business location address is:

1370 E VENICE AVE STE 202
VENICE, FL
ZIP 34285-084
Phone: (941) 480-0500
Fax: (941) 480-9322

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 7/2/2021 and was last updated on 3/15/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1277033450MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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