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PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC 1467129791

Overview
Name: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC Specialty: Obstetrics & Gynecology Nurse Practitioner Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers Classification: Nurse Practitioner Specialization: Obstetrics & Gynecology. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,2484 CARING WAY UNIT D,PORT CHARLOTTE,FL,339525306,US Mailing Address: PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC,PO BOX 689022,FRANKLIN,TN,370689022,US
Contact #
Practice location phone #: 9412052666 Practice location fax #: 9412052665 Mailing address Phone #: 6154657211 Mailing Address fax #: 6156286877 Authorized official Name/Telephone #:JENNIFER, L, JACKSON, SR DIR PROV ENROLLMENT & ONBOARDING 6154653334
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 03/18/2022 Insurances:

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