Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Other names
Comprehensive Women's Healthcare, Port Charlotte HMA Physician Management LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIR PROV ENROLLMENT & ONBOARDING)
(778) 929-8158
Entity
Organization
Contact information
Practice address
18659 TAMIAMI TRL, NORTH PORT, FL 34287-7388
(941) 423-5035
(941) 423-5034
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
07/15/2021
Last updated
04/24/2024
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