GULF COAST HMA PHYSICIAN MANAGEMENT LLC

VENICE, FL
NPI1649842790
Doing Business AsREGIONAL CARDIAC AND VASCULAR ASSOCIATES
Doing Business AsGULF COAST HMA PHYSICIAN MANAGEMENT LLC
Entity TypeOrganization
Authorized ContactJENNIFER L JACKSON
Sr Dir Prov Enrollment & Onboarding
615-465-3334
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies207UN0901X Nuclear Medicine, Nuclear Cardiology
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
363A00000X Physician Assistant
363L00000X Nurse Practitioner
363LA2200X Nurse Practitioner, Adult Health
363LF0000X Nurse Practitioner, Family
Enumeration Date2021-07-16
Last Update Date2022-03-15
Business Address
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
600 NOKOMIS AVE S STE 102
VENICE, FL 34285-3209
Phone number: 941-483-7651
Mailing Address
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 615-465-7211