PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
NPI 1659039311
Surgery - Vascular Surgery in Port Charlotte, FL

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

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since November 30, 2021

2400 HARBOR BLVD STE 7, PORT CHARLOTTE, FL 33952(941) 766-5099(941) 766-4884 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, Nov 30, 2021 (2 updates tracked since 2021).

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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 1659039311) is a healthcare organization registered as a vascular surgery in Port Charlotte, Florida and active in the NPI registry since November 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1659039311

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NamePORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Location Address2400 HARBOR BLVD STE 7Port Charlotte, FL 33952-5038

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

Phone(941) 766-5099

Fax(941) 766-4884

Organization SubpartNo

Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334

Enumeration DateNovember 30, 2021

Last NPPES UpdateMay 25, 20222 updates tracked since enumeration

NPPES CertifiedMay 25, 2022

✔ NPI 1659039311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

2400 HARBOR BLVD STE 7, Port Charlotte, FL 33952

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Other Names 1

Doing Business AsPort Charlotte Hma Physician Management Llc

Other Identifiers 1

MedicaidPENDINGFL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 9

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

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)