Organization · Type 2 NPI

Gulf Coast Hma Physician Management LLC

Family Medicine Physician · Venice, FL

NPI number 1750953816 Active

Practice location

8431 Pointe Loop Dr # 1
Venice, FL 34293-2232

Call (941) 483-7651 Map

Fax (941) 483-7699

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Podiatrist	213E00000X	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.

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NPI record

NPI: 1750953816
Entity type: Organization (Type 2)
Issued: Jul 16, 2021
Last updated: Mar 15, 2022
Status: Active

Other names

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Gulf Coast Hma Physician Management LLC · doing business as
Jacaranda Primary Care · doing business as
Jacaranda Primary Care · doing business as

Authorized official

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

Verify this record

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 1750953816

Gulf Coast Hma Physician Management LLC's National Provider Identifier is 1750953816, issued on Jul 16, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Venice, FL. The record was last updated on Mar 15, 2022.