| NPI | 1659045722 |
|---|---|
| Doing Business As | KEY WEST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | PONCIANA GARDENS ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dr Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-03-16 |