| Gulf Coast Hma Physician Management Llc | |
|
1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 | |
| (941) 800-4700 | |
| (941) 800-4711 |
| Full Name | Gulf Coast Hma Physician Management Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1370 E Venice Ave, Venice, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558745463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND6940 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Hma Physician Management Llc 1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 Ph: (941) 800-4700 | Gulf Coast Hma Physician Management Llc 1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 Ph: (941) 800-4700 |
Julie Smith, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1370 E Venice Ave, Ste 205, Venice, FL 34285 Phone: 941-800-4700 Fax: 941-800-4711 | |
Mrs. Dianne Cogburn, RD, LDN, MPH Dietitian Medicare: Not Enrolled in Medicare Practice Location: 721 Cadiz Rd, Venice, FL 34285 Phone: 941-223-1422 | |
Mrs. Carolyn Caswell Harrington, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 217 Rio Terra, Venice, FL 34285 Phone: 941-882-3071 Fax: 941-882-3071 | |
Tiffany Davis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1370 E Venice Ave, Ste 205, Venice, FL 34285 Phone: 941-800-4700 Fax: 941-800-4711 | |
Josie Elizabeth Phifer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 604 Valencia Rd, Venice, FL 34285 Phone: 941-685-0502 | |
Kim Riley Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 312 E Venice Ave Ste 208, Venice, FL 34285 Phone: 941-800-5565 Fax: 941-275-6340 |