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Organization
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Active
Organization
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Active
Parent organization
HEALTH MANAGEMENT ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES, INC
Authorized official
MS. JENNIFER JACKSON (SENIOR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
333 TAMIAMI TRL S, SUITE 101, VENICE, FL 34285-2402
(941) 483-9760
(941) 483-9775
Mailing address
5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2704
(239) 598-3131
(239) 598-9433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/20/2009
Last updated
03/14/2022
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