Port Charlotte Hma Physician Management Llc | |
3508 Tamiami Trl Port Charlotte FL 33952-8160 | |
(941) 883-3313 | |
(941) 883-3320 |
Full Name | Port Charlotte Hma Physician Management Llc |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 3508 Tamiami Trl, Port Charlotte, Florida |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Port Charlotte Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Port Charlotte Hma Physician Management Llc 3508 Tamiami Trl Port Charlotte FL 33952-8160 Ph: (941) 883-3313 |
NPI Number | 1295304822 |
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Provider Enumeration Date | 06/18/2021 |
Last Update Date | 03/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295304822 | NPI | - | NPPES |
278507213 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Express Care Medical Cinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 | |
Carlton R. Vollberg M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952 Phone: 941-743-4445 Fax: 941-743-4287 | |
B Adhinarayanan Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Harbor Blvd, Suite 16, Port Charlotte, FL 33952 Phone: 941-613-1223 Fax: 941-613-1224 | |
Coastal Cardiololgy & Vascular Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Tamiami Trl, Suite 300, Port Charlotte, FL 33948 Phone: 941-625-6187 Fax: 941-625-7887 | |
Pamela Papola Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Tamiami Trl, 1, Port Charlotte, FL 33952 Phone: 941-255-3722 Fax: 941-255-3723 | |
Infectious Diseases Consultants, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 941-613-2800 Fax: 941-613-2801 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 941-613-2222 Fax: 941-627-9950 |