Organization · Type 2 NPI

Gulf Coast Hma Physician Management LLC

Orthopaedic Surgery Physician · Venice, FL

NPI number 1114695087 Active

Practice location

836 Sunset Lake Blvd Ste 102
Venice, FL 34292-7555

Call (941) 497-1771 Map

Fax (941) 497-1860

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	None listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

2 other providers at this address

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NPI record

NPI: 1114695087
Entity type: Organization (Type 2)
Issued: Sep 3, 2021
Last updated: Mar 14, 2022
Status: Active

Other names

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Gulf Coast Hma Physician Management LLC · doing business as
Gulf Coast Hma Physician Management LLC · doing business as

Authorized official

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

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About NPI 1114695087

Gulf Coast Hma Physician Management LLC's National Provider Identifier is 1114695087, issued on Sep 3, 2021. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Venice, FL. The record was last updated on Mar 14, 2022.