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Organization

PASCO HERNANDO HMA PHYSICIAN MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL A SWAW (DIRECTOR)
(615) 778-8076
Entity
Organization

Contact information

Practice address
13933 17TH ST, SUITE 101, DADE CITY, FL 33525-4604
(352) 567-6763
Mailing address
13933 17TH ST, SUITE 101, DADE CITY, FL 33525-4604

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RB0002X
Obesity Medicine (Internal Medicine) Physician
207RG0100X
Gastroenterology Physician
207RP1001X
Pulmonary Disease Physician
207V00000X
Obstetrics & Gynecology Physician
Primary
208000000X
Pediatrics Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00009
BCBS
FL
05
277058000
FL
Enumeration date
07/07/2006
Last updated
01/19/2016
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