| NPI | 1467129791 | 
|---|---|
| Doing Business As | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology | 
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2021-08-25 | 
| Last Update Date | 2022-07-25 |