Organization
BARTOW HMA PHYSICIAN MANAGEMENT, LLC
Active
Parent organization
HEALTH MANAGEMENT ASSOCIATES, INC.
Other names
Southpoint Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES, INC.
Authorized official
MR. MICHAEL L GINGRAS (VICE PRESIDENT)
(239) 598-3131
Entity
Organization
Contact information
Practice address
3644 INNOVATION DR, LAKELAND, FL 33812-4105
(863) 701-2053
(863) 646-5834
Mailing address
5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2733
(239) 598-3131
(239) 598-9433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
11/26/2012
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