NPI | 1891367173 |
---|---|
Doing Business As | COMPREHENSIVE WOMEN'S HEALTH CARE |
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 | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
Enumeration Date | 2021-07-15 |
Last Update Date | 2022-03-18 |