Organization · Type 2 NPI

Port Charlotte Hma Physician Management LLC

Obstetrics & Gynecology Physician · Port Charlotte, FL

NPI number 1891367173 Active

Practice location

3067 Tamiami Trl Ste 1
Port Charlotte, FL 33952-6619

Call (941) 766-0400 Map

Fax (941) 766-1009

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Nurse Practitioner	363L00000X	None listed
Obstetrics & Gynecology Nurse Practitioner	363LX0001X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Another provider at this address

Billie Zody, MDObstetrics Physician Port Charlotte, FL NPI 1740240571

Other obstetrics & gynecology physician providers in Port Charlotte

See all in Port Charlotte →

NPI record

NPI: 1891367173
Entity type: Organization (Type 2)
Issued: Jul 15, 2021
Last updated: Mar 18, 2022
Status: Active

Other names

<unavail>
Comprehensive Women's Health Care · doing business as
Comprehensive Women's Health Care · 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

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 1891367173

Port Charlotte Hma Physician Management LLC's National Provider Identifier is 1891367173, issued on Jul 15, 2021. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Mar 18, 2022.