Organization · Type 2 NPI

Port Charlotte Hma Physician Management LLC

Family Medicine Physician · Punta Gorda, FL

NPI number 1265003537 Active

Practice location

25097 Olympia Ave Ste 107
Punta Gorda, FL 33950-3914

Call (941) 205-2620 Map

Fax (941) 235-2347

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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 Punta Gorda

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NPI record

NPI: 1265003537
Entity type: Organization (Type 2)
Issued: Jul 7, 2021
Last updated: Mar 16, 2022
Status: Active

Other names

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Bayfront Health Wound Care and Hyperbaric Center · doing business as
Port Charlotte Hma Physician Management LLC · 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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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 1265003537

Port Charlotte Hma Physician Management LLC's National Provider Identifier is 1265003537, issued on Jul 7, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Punta Gorda, FL. The record was last updated on Mar 16, 2022.