| Haines City Hma Physician Management, Llc | |
|
40124 Highway 27 Ste 102 Davenport FL 33837-5905 | |
| (863) 419-7505 | |
| Not Available |
| Full Name | Haines City Hma Physician Management, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 40124 Highway 27 Ste 102, Davenport, Florida |
| Authorized Official Name and Position | James P Wright (VP PHYSICIAN BUSINESS SERVICES) |
| Authorized Official Contact | 6157781502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haines City Hma Physician Management, Llc 40124 Highway 27 Ste 102 Davenport FL 33837-5905 Ph: () - | Haines City Hma Physician Management, Llc 40124 Highway 27 Ste 102 Davenport FL 33837-5905 Ph: (863) 419-7505 |
| NPI Number | 1215262217 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215262217 | NPI | - | NPPES |
| 001582500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
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