MUNROE HMA HMPN LLC

Provider Demographics

• NPI: 1669899324
• Name: MUNROE HMA HMPN LLC
• Entity type: Organization
• Organization Name: MUNROE HMA HMPN LLC
• Authorized Official - Title/Position: SR. DIRECTOR
• Authorized Official - First Name: JAMES
• Authorized Official - Middle Name: PATRICK
• Authorized Official - Last Name: WRIGHT
• Authorized Official - Phone: 615-465-7587
• Mailing Address - Street 1: PO BOX 689022
• Mailing Address - City: FRANKLIN
• Mailing Address - State: TN
• Mailing Address - Zip Code: 37068-9022
• Mailing Address - Country: US
• Mailing Address - Phone: 615-465-7000
• Mailing Address - Fax: 615-465-3007
• Practice Address - Street 1: 8550 NE 138TH LN
• Practice Address - Street 2: SUITE 401
• Practice Address - City: LADY LAKE
• Practice Address - State: FL
• Practice Address - Zip Code: 32159-8957
• Practice Address - Country: US
• Practice Address - Phone: 352-751-1036
• Practice Address - Fax: 352-750-4698
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2014-03-19
• Last Update Date: 2015-04-01

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Critical Care Medicine	Group - Multi-Specialty
No	363LW0102X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Women's Health	Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207T00000X	Allopathic & Osteopathic Physicians	Neurological Surgery		Group - Multi-Specialty
No	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery		Group - Multi-Specialty
No	208600000X	Allopathic & Osteopathic Physicians	Surgery		Group - Multi-Specialty
No	208G00000X	Allopathic & Osteopathic Physicians	Thoracic Surgery (Cardiothoracic Vascular Surgery)		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	367A00000X	Physician Assistants & Advanced Practice Nursing Providers	Advanced Practice Midwife		Group - Multi-Specialty
No	207RN0300X	Allopathic & Osteopathic Physicians	Internal Medicine	Nephrology	Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	2084N0400X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Neurology	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
FL	010883700	Medicaid
FL	005KQ	Other	BCBS
FL	HU150A	Medicare PIN