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PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
NPI 1124697743
Obstetrics & Gynecology in Arcadia, FL

Active since June 18, 2021
1012 N MILLS AVE, ARCADIA, FL 34266(941) 766-0400(941) 766-1009 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Port Charlotte Hma Physician Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC (NPI 1124697743) is a healthcare organization registered as an obstetrics & gynecology in Arcadia, Florida and active in the NPI registry since June 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1124697743
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Location Address1012 N MILLS AVEArcadia, FL 34266-8811
Mailing Address1012 N Mills AveArcadia, FL 34266-8811 · (615) 465-7211 · Fax (615) 628-6877
Phone(941) 766-0400
Fax(941) 766-1009
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJune 18, 2021
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1124697743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X
1012 N MILLS AVE, Arcadia, FL 34266
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Other Names 2

Doing Business AsPort Charlotte Hma Physician Management Llc
Doing Business AsComprehensive Women's Health Care Of Arcadia

Other Identifiers 1

Medicaid102610201FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA HOSPITAL PHYSICIAN GROUP INC
Clinic/Center (Rural Health)
1012 N MILLS AVE
ARCADIA, FL 34266
Desoto County (863) 494-2663
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Clinic/Center (Rural Health)
1012 N MILLS AVE
ARCADIA, FL 34266
Desoto County (941) 766-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Charlotte Hma Physician Management LLC's NPI number?

The NPI number for Port Charlotte Hma Physician Management LLC is 1124697743. It was assigned to this organization in the NPPES registry on June 18, 2021. The provider is doing business as Comprehensive Women's Health Care Of Arcadia.

Where is Port Charlotte Hma Physician Management LLC located?

Port Charlotte Hma Physician Management LLC is located at 1012 N Mills Ave, Arcadia, FL 34266. The listed phone number is (941) 766-0400.

What is Port Charlotte Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Port Charlotte Hma Physician Management LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.