# PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH MANAGEMENT ASSOCIATES, INC.
- **Other names:** Charlotte Harbor Cardiac Surgical Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063719318
- **Legal business name:** HEALTH MANAGEMENT ASSOCIATES, INC.
- **Authorized official:** MS. JENNIFER L JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-3334

## Contact information

- **Practice address:** 713 E MARION AVE, SUITE 133, PUNTA GORDA, FL 33950-3872
- **Practice address phone:** (941) 639-6616
- **Practice address fax:** (941) 639-1716
- **Mailing address:** 5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2733
- **Mailing address phone:** (239) 598-3131
- **Mailing address fax:** (239) 592-0438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/23/2011
- **Last updated:** 03/16/2022
