Organization
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Active
Parent organization
HEALTH MANAGEMENT ASSOCIATES
Other names
Gulf Coast Medical Group-Chronic Pain Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES
Authorized official
MR. MICHAEL L GINGRAS (VICE PRESIDENT)
(239) 598-3131
Entity
Organization
Contact information
Practice address
417 COMMERCIAL CT, SUITE A6, VENICE, FL 34292-1655
(941) 488-0074
(941) 488-2074
Mailing address
5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2733
(239) 598-3131
(239) 592-0438
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
11/27/2012
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