Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Punta Gorda Hma Physician Management LLC

Organization Mental Health Counselor · NPI 1740859552

Punta Gorda Hma Physician Management LLC provides Mental Health Counselor services in Punta Gorda, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

713 E Marion Ave Ste 121
Punta Gorda, FL 33950-3862
Phone: (941) 833-1760
Fax: (941) 205-3374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1740859552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Bayfront Health Medical Group Psychiatry; Bayfront Health Medical Group Psychiatry; Punta Gorda Hma Physician Management Llc
NPI enumeratedJune 24, 2021
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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