Organization · Type 2 NPI

Port Charlotte Hma Physician Management LLC

Neurology Physician · Port Charlotte, FL

NPI number 1053983338 Active

Practice location

3067 Tamiami Trl Ste 2
Port Charlotte, FL 33952-6619

Call (941) 225-8351 Map

Fax (941) 258-3519

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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NPI record

NPI: 1053983338
Entity type: Organization (Type 2)
Issued: Jul 15, 2021
Last updated: Mar 16, 2022
Status: Active

Other names

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Neurology Associates of Charlotte County · doing business as
Neurology Associates of Charlotte County · doing business as
Port Charlotte Hma Physician Management LLC · doing business as

Authorized official

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

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About NPI 1053983338

Port Charlotte Hma Physician Management LLC's National Provider Identifier is 1053983338, issued on Jul 15, 2021. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Port Charlotte, FL. The record was last updated on Mar 16, 2022.