Organization · Type 2 NPI

Punta Gorda Hma Physician Management LLC

General Practice Physician · Punta Gorda, FL

NPI number 1740859552 Active

Practice location

713 E Marion Ave Ste 121
Punta Gorda, FL 33950-3862

Call (941) 833-1760 Map

Fax (941) 205-3374

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker	1041C0700X	None listed
Neurology Physician	2084N0400X	None listed
Psychiatry Physician	2084P0800X	None listed
General Practice Physician Primary	208D00000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

7 other providers at this address

NPI record

NPI: 1740859552
Entity type: Organization (Type 2)
Issued: Jun 24, 2021
Last updated: Mar 18, 2022
Status: Active

Other names

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Bayfront Health Medical Group Psychiatry · doing business as
Bayfront Health Medical Group Psychiatry · doing business as
Punta Gorda Hma Physician Management LLC · doing business as

Authorized official

Jennifer L Jackson
SR Dir Prov Enrollment & Onboarding
(615) 465-3334

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740859552

Punta Gorda Hma Physician Management LLC's National Provider Identifier is 1740859552, issued on Jun 24, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Punta Gorda, FL. The record was last updated on Mar 18, 2022.