| NPI | 1811569353 |
|---|---|
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | RESTORE MEDICAL PARTNERS LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-03-15 |