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Organization
LIVE OAK HMA MEDICAL GROUP, LLC
Active
Organization
LIVE OAK HMA MEDICAL GROUP, LLC
Active
Parent organization
HEALTH MANAGEMENT ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES, INC
Authorized official
MR. MICHAEL L GINGRAS (VICE PRESIDENT)
(239) 598-3131
Entity
Organization
Contact information
Practice address
1116 11TH ST SW, LIVE OAK, FL 32064-3608
(239) 598-3131
(239) 592-0438
Mailing address
5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2733
(239) 598-3131
(239) 592-0438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/27/2010
Last updated
11/26/2012
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