Pasco Hernando Hma Physician Management, LLC

Organization Active NPI Obstetrics & Gynecology Physician · Dade City, FL

NPI 1003848359 · NPPES record last updated Jan 19, 2016

Key facts

NPI
1003848359
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
PASCO HERNANDO HMA PHYSICIAN MANAGEMENT, LLC
Practice address
13933 17TH St
Suite 101
Dade City, FL 33525-4604
Phone
(352) 567-6763
NPI assigned
Jul 7, 2006
Organization subpart
No

Authorized official

Name
Mr. Michael A Swaw
Title
Director
Phone
(615) 778-8076

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

National Provider Directory

Locations

13540 17th St
Ste 2
Dade City, FL 33525
Phone (352) 567-1642

13933 17th St
Ste 200
Dade City, FL 33525
Phone (352) 437-5971

6719 Gall Blvd
Ste 202
Zephyrhills, FL 33542
Phone (813) 788-6674

37834 Medical Arts Ct
Zephyrhills, FL 33541
Phone (813) 782-2811

7860 Gall Blvd
Zephyrhills, FL 33541
Phone (352) 521-0217

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Obesity Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RB0002X
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RG0100X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X Yes
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X

Addresses

Primary practice location

13933 17TH St
Suite 101
Dade City, FL 33525-4604

Mailing address

13933 17TH St
Suite 101
Dade City, FL 33525-4604

Other identifiers

IdentifierTypeStateIssuer
00009OtherFLBCBS
277058000MedicaidFL

Other providers in Dade City, FL

All providers in Dade City, FL · Obstetrics & Gynecology Physician in Florida

Sources for this page

Verify at the official NPI Registry.