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Contact Information

GULF COAST HMA PHYSICIAN MANAGEMENT LLC
333 TAMIAMI TRL S STE 183
VENICE, FL34285-2426
 Phone: 941-375-3006
 Fax: 941-218-4825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GULF COAST HMA PHYSICIAN MANAGEMENT LLC · (Female)

NPI Number 1427620988
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2021
Last updated 03/15/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 277033413
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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