| NPI | 1346819729 |
|---|---|
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | GULF COAST MEDICAL GROUP-SARASOTA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-03-14 |