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MICHAEL D HIBBS
1525 TAMIAMI S TRL VENICE FL 342853568
MICHAEL D HIBBS is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1174712541. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4284710583. The primary specialty is NURSE PRACTITIONER. The organization is GULF COAST HMA PHYSICIAN MANAGEMENT LLC. The address is 1525 TAMIAMI S TRL, , VENICE, FL, 342853568. The zip code is 342853568.
|Nation Provider ID||1174712541|
|PAC ID by PECOS||4284710583|
|Professional Enrollment ID||I20080327000152|
|Name||MICHAEL D HIBBS|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||GULF COAST HMA PHYSICIAN MANAGEMENT LLC|
|Group Practice PAC ID||7911949466|
|Number of Group Practice members||87|
|Address||1525 TAMIAMI S TRL, , VENICE, FL, 342853568|
|Hospital affiliation LBN||PORT CHARLOTTE HMA LLC|