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Port Charlotte Hma Physician Management LLC

Vascular Surgery Physician in Punta Gorda, FL · enumerated 2022 · authorized official Jennifer Jackson, Sr Dir Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871218966

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Registry record

Entity type Organization (Type 2)
Legal business name Port Charlotte Hma Physician Management LLC
Practice address 713 E Marion Ave Ste 123, Punta Gorda, FL, 33950
Phone (941) 766-5099
Fax (961) 764-0194
Enumeration date Oct 11, 2022
Last updated in NPPES Oct 11, 2022

Taxonomy & classification

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Primary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson
Title Sr Dir Enrollment & Onboarding
Phone (615) 465-3334

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Port Charlotte Hma Physician Management LLC?
The NPI for Port Charlotte Hma Physician Management LLC is 1871218966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Port Charlotte Hma Physician Management LLC?
NPPES lists Jennifer Jackson (Sr Dir Enrollment & Onboarding) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-11.