| NPI | 1124697743 |
|---|---|
| Doing Business As | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | COMPREHENSIVE WOMEN'S HEALTH CARE OF ARCADIA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2022-03-16 |