FT SMITH HMA PBC MANAGEMENT, LLC

FORT SMITH, AR
NPI1093006702
Doing Business AsSPARKS SENIOR HEALTH CENTER
Entity TypeOrganization
Authorized ContactMICHAEL L GINGRAS
Vice President
239-598-3131
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies104100000X Social Worker
363L00000X Nurse Practitioner
Enumeration Date2011-04-28
Last Update Date2012-11-27
Business Address
FT SMITH HMA PBC MANAGEMENT, LLC
1500 DODSON AVE SUITE 125
FORT SMITH, AR 72901-5182
Phone number: 479-573-7960
Mailing Address
FT SMITH HMA PBC MANAGEMENT, LLC
5811 PELICAN BAY BLVD SUITE 500
NAPLES, FL 34108-2733
Phone number: 239-598-3131