Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Charlotte Hma Physician Management LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1295304822

Port Charlotte Hma Physician Management LLC is a Geriatric Medicine (Internal Medicine) Physician in Port Charlotte, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3508 Tamiami Trl
Port Charlotte, FL 33952-8160
Phone: (941) 883-3313
Fax: (941) 883-3320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1295304822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Port Charlotte Hma Physician Management Llc; Port Charlotte Hma Physician Management Llc
NPI enumeratedJune 18, 2021
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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