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Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Other names
Port Charlotte HMA Physician Management LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
713 E MARION AVE STE 121, PUNTA GORDA, FL 33950-3862
(941) 833-1760
(941) 205-3374
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(877) 892-9815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278507222
—
FL
Enumeration date
12/09/2021
Last updated
09/02/2025
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