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GULF COAST HMA PHYSICIAN MANAGEMENT LLC NPI 1770879363


NPI Information

NPI: 1770879363
Provider Name: GULF COAST HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: GULF COAST MEDICAL GROUP-ASTON GARDENS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1000 ASTON GARDENS DR
VENICE, FL
ZIP 34292
Phone: (941) 564-4058
Get Directions

GULF COAST HMA PHYSICIAN MANAGEMENT LLC is a family medicine in Venice, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GULF COAST HMA PHYSICIAN MANAGEMENT LLC NPI is 1770879363. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gulf Coast Medical Group-aston Gardens.

The provider's business location address is:

1000 ASTON GARDENS DR
VENICE, FL
ZIP 34292-078
Phone: (941) 564-4058
Fax: (941) 240-1011

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 6/22/2011 and was last updated on 11/28/2012.


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
1363L00000XNurse PractitionerNo
2207Q00000XFamily 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
1K7637MEDICARE PINFLORIDA

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: 11/14/2023

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