Organization · Type 2 NPI

Gulf Coast Hma Physician Management LLC

Cardiovascular Disease Physician · Venice, FL

NPI number 1891367074 Active

Practice location

600 Nokomis Ave S Ste 207
Venice, FL 34285-3209

Call (941) 483-7651 Map

Fax (941) 483-7699

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed
Physician Assistant	363A00000X	None listed
Surgical Physician Assistant	363AS0400X	None listed
Acute Care Nurse Practitioner	363LA2100X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Another provider at this address

Cynthia Beth Gamble, ARNPNurse Practitioner Venice, FL NPI 1023126497

Other cardiovascular disease physician providers in Venice

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NPI record

NPI: 1891367074
Entity type: Organization (Type 2)
Issued: Jul 15, 2021
Last updated: Mar 15, 2022
Status: Active

Other names

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Gulf Coast Medical Group - Cardiothoracic Surgery Associates · doing business as
Gulf Coast Medical Group - Cardiothoracic Surgery Associates · doing business as
Gulf Coast Hma Physician Management LLC · 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 1891367074

Gulf Coast Hma Physician Management LLC's National Provider Identifier is 1891367074, issued on Jul 15, 2021. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Venice, FL. The record was last updated on Mar 15, 2022.