Organization
HAINES CITY HMA PHYSICIAN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
(615) 778-1502
Entity
Organization
Contact information
Practice address
40124 HIGHWAY 27 STE 102, DAVENPORT, FL 33837-5905
(863) 419-7505
Mailing address
40124 HIGHWAY 27 STE 102, DAVENPORT, FL 33837-5905
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001582500
—
FL
Enumeration date
10/08/2009
Last updated
07/15/2019
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