MEDICARE: LEHIGH HMA PHYSICIAN MANAGEMENT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208600000X	Surgery Physician
2	213E00000X	Podiatrist
3	207R00000X	Internal Medicine Physician
4	363A00000X	Physician Assistant
5	207P00000X	Emergency Medicine Physician
6	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1366499212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEHIGH HMA PHYSICIAN MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 689022
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-9022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 LEE BLVD
Second Line	:	SUITE 1700
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4893
Country	:	US
Telephone Number	:	239-369-6115
Fax Number	:	239-369-0515

Authorized Official
Title or Position	:	SR DIRECTOR
Name	:	MR. JAMES PATRICK WRIGHT
Credential	:
Telephone Number	:	615-465-7587

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/31/2014

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