Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (MANAGER)
(615) 465-7377
Entity
Organization
Contact information
Practice address
713 E MARION AVE STE 125, PUNTA GORDA, FL 33950-3862
(941) 258-3515
(941) 258-3519
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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