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

Punta Gorda Hma Physician Management LLC

Organization Mental Health Counselor · NPI 1740859552

Punta Gorda Hma Physician Management LLC is a Mental Health Counselor 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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