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Organization
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC
Active
Organization
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC
Active
Parent organization
HEALTH MANAGEMENT ASSOCIATES, INC.
Other names
Charlotte Harbor Cardiac Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES, INC.
Authorized official
MS. JENNIFER L JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
713 E MARION AVE, SUITE 133, PUNTA GORDA, FL 33950-3872
(941) 639-6616
(941) 639-1716
Mailing address
5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2733
(239) 598-3131
(239) 592-0438
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/23/2011
Last updated
03/16/2022
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