Organization
BLACKWELL HMPN, LLC
Active
Parent organization
HEALTH MANAGEMENT ASSOCIATES
Other names
Tonkawa Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH MANAGEMENT ASSOCIATES
Authorized official
STACI LUCIUS (PRESIDENT)
(239) 552-3575
Entity
Organization
Contact information
Practice address
600 E GRAND AVE, SUITE 1, TONKAWA, OK 74653-3558
(580) 628-2138
(580) 628-2293
Mailing address
5811 PELICAN BAY BLVD STE 500, NAPLES, FL 34108-2711
(239) 552-3131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
10/30/2013
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