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PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
NPI 1265003537
Family Medicine in Punta Gorda, FL

Active since July 07, 2021
25097 OLYMPIA AVE STE 107, PUNTA GORDA, FL 33950(941) 205-2620(941) 235-2347 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Port Charlotte Hma Physician Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC (NPI 1265003537) is a healthcare organization registered as a family medicine in Punta Gorda, Florida and active in the NPI registry since July 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1265003537
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Location Address25097 OLYMPIA AVE STE 107Punta Gorda, FL 33950-3914
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Phone(941) 205-2620
Fax(941) 235-2347
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateJuly 7, 2021
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1265003537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25097 OLYMPIA AVE STE 107, Punta Gorda, FL 33950
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Other Names 2

Doing Business AsPort Charlotte Hma Physician Management Llc
Doing Business AsBayfront Health Wound Care And Hyperbaric Center

Other Identifiers 1

MedicaidPENDINGFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Charlotte Hma Physician Management LLC's NPI number?

The NPI number for Port Charlotte Hma Physician Management LLC is 1265003537. It was assigned to this organization in the NPPES registry on July 7, 2021. The provider is doing business as Bayfront Health Wound Care and Hyperbaric Center.

Where is Port Charlotte Hma Physician Management LLC located?

Port Charlotte Hma Physician Management LLC is located at 25097 Olympia Ave Ste 107, Punta Gorda, FL 33950. The listed phone number is (941) 205-2620.

What is Port Charlotte Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Port Charlotte Hma Physician Management LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.