National Provider Identifier Database

GULF COAST HMA PHYSICIAN MANAGEMENT LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


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
* General Practice 208D00000X
Anesthesiology 207L00000X
Family 363LF0000X
Interventional Pain Medicine 208VP0014X
Nurse Practitioner 363L00000X
Pain Medicine 207LP2900X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for GULF COAST HMA PHYSICIAN MANAGEMENT LLC

NPI Number 1427620988
Legal business name
LBN
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Authorized official JENNIFER JACKSON - (SR DIR PROV ENROLLMENT & ONBOARDING)
Entity Organization
Organization subpart No
Enumeration date 07/14/2021
Last updated 03/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 277033413

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.

Reviews for GULF COAST HMA PHYSICIAN MANAGEMENT LLC

There are currently no reviews for GULF COAST HMA PHYSICIAN MANAGEMENT LLC


NPIdb - Home
v2.201