Port Charlotte HMA Physician Management LLC – Geriatric Medicine (Internal Medicine) Physician, NPI 1295304822

Port Charlotte HMA Physician Management LLC is a healthcare provider. based in Port charlotte, Florida. specializing in Geriatric Medicine (Internal Medicine) Physician. The NPI Number for Port Charlotte HMA Physician Management LLC is 1295304822

Main info

Organization
Name
Port Charlotte HMA Physician Management LLC
NPI
1295304822
Phone
(941) 883-3313
Address
3508 TAMIAMI TRL
Authorized Official
JENNIFER L JACKSON SR DIR PROV ENROLLMENT & ONBOARDING
Enumeration Date
18 June 2021
Last Update Date
16 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Port Charlotte HMA Physician Management LLC

  • 3508 TAMIAMI TRL

    PORT CHARLOTTE, FL 339528160

    Phone: (941) 883-3313

    Fax: (941) 883-3320

    Type: Location

  • PO BOX 689022

    FRANKLIN, TN 370689022

    Phone: (615) 465-7211

    Fax: (615) 628-6877

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33952)

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Frequently asked questions

What identifier follows Port Charlotte HMA Physician Management LLC across health systems?
The NPI 1295304822 uniquely identifies Port Charlotte HMA Physician Management LLC in U.S. healthcare data.
Is Port Charlotte HMA Physician Management LLC currently accepting referrals based on NPI status?
Registry metadata lists Port Charlotte HMA Physician Management LLC as active.
How should patients interpret Port Charlotte HMA Physician Management LLC's specialty?
The extract shows Geriatric Medicine (Internal Medicine) Physician for Port Charlotte HMA Physician Management LLC. Clinical services aligned with this taxonomy classification.
What city is tied to Port Charlotte HMA Physician Management LLC?
The directory associates Port Charlotte HMA Physician Management LLC with Port Charlotte, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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