Organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Active
Parent organization
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Other names
Shorepoint Obstetrics and Gynecology- RHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Authorized official
JENNIFER L JACKSON (SR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
1012 N MILLS AVE, ARCADIA, FL 34266-8811
(941) 766-0400
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
03/18/2022
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