PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC NPI 1831866110

NPI Information

  • NPI: 1831866110
  • Provider Name: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
  • CLIA Number: 10D1012925
  • Address: 18659 TAMIAMI TRL
    NORTH PORT, FL
    ZIP 34287
  • Phone: (941) 423-5035

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NPI Details

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC is an obstetrics gynecology in North Port, 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 1831866110. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Port Charlotte Hma Physician Management Llc.

The provider's business location address is:

18659 TAMIAMI TRL
NORTH PORT, FL
ZIP 34287-388
Phone: (941) 423-5035
Fax: (941) 423-5034

The provider's authorized official is Kristina Music .
The authorized official title is Director Provider Enrollment and has the following contact phone number (877) 892-9815.

The CLIA number assigned to this NPI record is 10D1012925 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 11/15/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2363LA2200XNurse PractitionerAdult HealthNo
3363LF0000XNurse PractitionerFamilyNo
4363LW0102XNurse PractitionerWomen's HealthNo
5207V00000XObstetrics & GynecologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDFLORIDA

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: 3/30/2025

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