Organization · Type 2 NPI

Gulf Coast Hma Physician Management LLC

Family Medicine Physician · North Port, FL

NPI number 1013685973 Active

Practice location

18659 Tamiami Trl Ste A
North Port, FL 34287-7388

Call (941) 429-3416 Map

Fax (941) 429-3430

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Gastroenterology Physician	207RG0100X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Rheumatology Physician	207RR0500X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Surgery Physician	208600000X	None listed
Podiatrist	213E00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Gerontology Nurse Practitioner	363LG0600X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in North Port

See all in North Port →

NPI record

NPI: 1013685973
Entity type: Organization (Type 2)
Issued: Sep 3, 2021
Last updated: Mar 14, 2022
Status: Active

Other names

<unavail>
Gulf Coast Medical Group North Port Primary Care · doing business as
Gulf Coast Medical Group North Port Primary Care · doing business as

Authorized official

Jennifer L Jackson
SR DR Prov Enrollment & Onboarding
(615) 465-3334

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013685973

Gulf Coast Hma Physician Management LLC's National Provider Identifier is 1013685973, issued on Sep 3, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in North Port, FL. The record was last updated on Mar 14, 2022.