GULF COAST MEDICAL GROUP - CARDIOTHORACIC SURGERY ASSOCIATES
NPI 1891367074
Internal Medicine - Cardiovascular Disease in Venice, FL

Active since July 15, 2021
600 NOKOMIS AVE S STE 207, VENICE, FL 34285(941) 483-7651(941) 483-7699 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gulf Coast Medical Group - Cardiothoracic Surgery Associates NPPES

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

GULF COAST MEDICAL GROUP - CARDIOTHORACIC SURGERY ASSOCIATES (NPI 1891367074) is a healthcare organization registered as a cardiovascular disease in Venice, Florida and active in the NPI registry since July 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1891367074
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGULF COAST HMA PHYSICIAN MANAGEMENT LLC
Location Address600 NOKOMIS AVE S STE 207Venice, FL 34285-3209
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Fax(941) 483-7699
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJuly 15, 2021
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
NPI 1891367074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
600 NOKOMIS AVE S STE 207, Venice, FL 34285

Other Names 2

Doing Business AsGulf Coast Medical Group - Cardiothoracic Surgery Associates
Doing Business AsGulf Coast Hma Physician Management Llc

Other Identifiers 1

Medicaid277033442FL

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

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

Nurse Practitioner
600 NOKOMIS AVE S STE 207
VENICE, FL 34285

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 Gulf Coast Hma Physician Management LLC's NPI number?

The NPI number for Gulf Coast Hma Physician Management LLC is 1891367074. It was assigned to this organization in the NPPES registry on July 15, 2021. The provider is doing business as Gulf Coast Medical Group - Cardiothoracic Surgery Associates.

Where is Gulf Coast Hma Physician Management LLC located?

Gulf Coast Hma Physician Management LLC is located at 600 Nokomis Ave S Ste 207, Venice, FL 34285. The listed phone number is (941) 483-7651.

What is Gulf Coast Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Hma Physician Management LLC was last updated on March 15, 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.