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Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
1201 JACARANDA BLVD, VENICE, FL 34292-4535
(941) 497-7800
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7377
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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