| NPI | 1639741705 |
|---|---|
| Doing Business As | GULF COAST MEDICAL GROUP INTERNAL MEDICINE TUSCANY |
| Doing Business As | GULF COAST 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 | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-03-15 |