| NPI | 1659039311 |
|---|---|
| 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 | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| 363LA2100X Nurse Practitioner Acute Care | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2022-05-25 |