GULF COAST HMA PHYSICIAN MANAGEMENT LLC (NPI# 1932470648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932470648 |
| Entity Type | Organization |
| Organization Name | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Other Organization Name | GULF COAST FOOT AND ANKLE |
| Practice Address |
1211 Jacaranda Blvd Venice FL 34292-4520 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 8443669362 |
| Practice Fax Number | 9414843748 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | JAMES P WRIGHT (VP, PHYSICIAN BUSINESS SERVICES) |
| Authorized Official Telephone | 6157781502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Gulf Coast Foot and Ankle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770879363 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 1000 Aston Gardens Dr, Venice, FL 34292-3078 | 2011-06-22 |
| 1699072934 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 250 W Dearborn St, Englewood, FL 34223-3245 | 2011-02-23 |
| 1407806094 | Gulf Coast Hma Physician Management LLC | Family Medicine | 1101 Tamiami Trl S, Suite 101, Venice, FL 34285-4133 | 2006-05-12 |
| 1558745463 | Gulf Coast Hma Physician Management LLC | Dietitian, Registered | 1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 | 2015-07-10 |
| 1255625067 | Gulf Coast Hma Physician Management LLC | Pain Medicine | 417 Commercial Ct, Suite A6, Venice, FL 34292-1655 | 2011-06-09 |
| 1861790206 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1770881112 | Gulf Coast Hma Physician Management LLC | Clinical Medical Laboratory | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1033417472 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1851699292 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 333 Miami Ave W, Venice, FL 34285-2361 | 2011-03-09 |
| 1760780100 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 333 Tamiami Trl S, Suite 101, Venice, FL 34285-2402 | 2011-03-09 |
| Street Address |
1211 JACARANDA BLVD |
| City | VENICE |
| State | FL |
| Zip Code | 34292-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733178 | Raul Holguin | Family Medicine | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2005-07-13 |
| 1003960352 | Kathryn S Collins | Nurse Practitioner | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2007-01-23 |
| 1730117888 | Primary Care of Venice Inc | Family Medicine | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2006-06-29 |
| 1043219702 | Armando Navarro | Family Medicine | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2005-07-15 |
| 1518966381 | Ira Ross | Internal Medicine | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2005-07-14 |
| 1134127020 | Trent Mascola | Family Medicine | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649288663 | Mary Michelle Bogen | Podiatrist | 712 The Rialto, Venice, FL 34285-3524 | 2006-08-04 |
| 1336161181 | Michael Thomas Mccormick | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-24 |
| 1598720930 | Louis S. Giannone, Dpm Pllc | Podiatrist | 1201 Jacaranda Blvd, Venice, FL 34292-4535 | 2006-04-19 |
| 1023001492 | Louis S. Giannone | Podiatrist | 411 Commercial Ct, Unit G, Venice, FL 34292-1650 | 2005-08-31 |
| 1033559612 | Brielle Lynn Roggow | Podiatrist | 712 The Rialto, Venice, FL 34285-3524 | 2013-06-27 |
| 1679673123 | Roy Clint Laird | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-09-25 |
| 1780607978 | Boyd Allan Robinson | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.