| NPI | 1679142046 |
|---|---|
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | THE HEART AND VASCULAR CENTER OF VENICE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-03-15 |