Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Port Charlotte Hma Physician Management LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1295304822

Port Charlotte Hma Physician Management LLC provides Geriatric Medicine (Internal Medicine) Physician services 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.

See every abbreviation used in this directory →

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

Other providers in Port Charlotte