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Organization

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Active
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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
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 205-2666
(941) 883-4295
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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