# LEBANON HMA PHYSICIAN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH MANAGEMENT ASSOCIATES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093768137
- **Legal business name:** HEALTH MANAGEMENT ASSOCIATES, INC
- **Authorized official:** MR. MICHAEL L GINGRAS (VICE PRESIDENT)
- **Authorized official phone:** (239) 598-3131

## Contact information

- **Practice address:** 1420 W BADDOUR PKWY, LEBANON, TN 37087-1510
- **Practice address phone:** (615) 443-2500
- **Mailing address:** 5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2704
- **Mailing address phone:** (239) 598-3131
- **Mailing address fax:** (239) 592-0438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 11/26/2012