# HAINES CITY HMA PHYSICIAN MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215262217
- **Authorized official:** MR. JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
- **Authorized official phone:** (615) 778-1502

## Contact information

- **Practice address:** 40124 HIGHWAY 27 STE 102, DAVENPORT, FL 33837-5905
- **Practice address phone:** (863) 419-7505
- **Mailing address:** 40124 HIGHWAY 27 STE 102, DAVENPORT, FL 33837-5905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 07/15/2019