PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
NPI 1871218966
Surgery - Vascular Surgery in Punta Gorda, 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 October 11, 2022

713 E MARION AVE STE 123, PUNTA GORDA, FL 33950(941) 766-5099(961) 764-0194 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1871218966) is a healthcare organization registered as a vascular surgery in Punta Gorda, Florida and active in the NPI registry since October 2022. The organization lists Jennifer L Jackson, Sr Dir Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1871218966

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NamePORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Location Address713 E MARION AVE STE 123Punta Gorda, FL 33950-3862

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

Phone(941) 766-5099

Fax(961) 764-0194

Organization SubpartNo

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

Enumeration DateOctober 11, 2022

NPPES CertifiedOctober 11, 2022

✔ NPI 1871218966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

713 E MARION AVE STE 123, Punta Gorda, FL 33950

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Group Practice 1

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

Other Providers at the Same Location NPPES

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

DR. AMY MARIE MELLOR M.D.

Psychiatry & Neurology (Neurology)

713 E MARION AVE STE 123
PUNTA GORDA, FL 33950

Charlotte County (941) 833-1515

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 1871218966. It was assigned to this organization in the NPPES registry on October 11, 2022.

Where is Port Charlotte Hma Physician Management LLC located?

Port Charlotte Hma Physician Management LLC is located at 713 E Marion Ave Ste 123, Punta Gorda, FL 33950. The listed phone number is (941) 766-5099.

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.

When was this NPI record last updated?

The NPPES record for Port Charlotte Hma Physician Management LLC was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.