Organization
PUNTA GORDA HB MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (OA)
(877) 892-9815
Entity
Organization
Contact information
Practice address
1201 JACARANDA BLVD, VENICE, FL 34292-4535
(855) 472-9219
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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