PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC - NPI 1295304822 - Internal Medicine in Port Charlotte, FL

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

On this page

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 1295304822) is a healthcare organization registered as a geriatric medicine in Port Charlotte, 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

NPI1295304822

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NamePORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Location Address3508 TAMIAMI TRLPort Charlotte, FL 33952-8160

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877

Phone(941) 883-3313

Fax(941) 883-3320

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 1295304822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

3508 TAMIAMI TRL, Port Charlotte, FL 33952

Open in Google Maps ↗

Other Names 1

Doing Business AsPort Charlotte Hma Physician Management Llc

Other Identifiers 1

Medicaid278507213FL

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 3

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

DR. ENA C CASANOVA M.D.

Pediatrics

3508 TAMIAMI TRL, SUITE C
PORT CHARLOTTE, FL 33952

Charlotte County (941) 883-3313

CASANOVA & CASANOVA MD'S PA

Internal Medicine (Geriatric Medicine)

3508 TAMIAMI TRL, SUITE C
PORT CHARLOTTE, FL 33952

Charlotte County (941) 883-3313

SUN COAST HOME CARE SERVICES, INC.

Home Health

3508 TAMIAMI TRL, SUITE A
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-1600

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 1295304822. It was assigned to this organization in the NPPES registry on June 18, 2021.

Where is Port Charlotte Hma Physician Management LLC located?

Port Charlotte Hma Physician Management LLC is located at 3508 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 883-3313.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

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.