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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
Other names
Gulf Coast Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES, INC
Authorized official
JENNIFER L JACKSON (SR. DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
1101 TAMIAMI TRL S, SUITE 101, VENICE, FL 34285-4133
(941) 480-2831
(941) 480-2820
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94784
BCBS GROUP PROVIDER NUMBE
FL
Enumeration date
05/12/2006
Last updated
03/14/2022
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