Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(877) 952-3815
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD STE 7, PORT CHARLOTTE, FL 33952-5038
(941) 766-5099
(941) 766-4884
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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