| NPI | 1720650898 |
|---|---|
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | GULF COAST MEDICAL GROUP INTERNAL MEDICINE TUSCANY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-03-15 |