BAYFRONT HEALTH MEDICAL GROUP PSYCHIATRY
NPI 1740859552
General Practice in Punta Gorda, FL

Q: What is Punta Gorda Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 24, 2021

713 E MARION AVE STE 121, PUNTA GORDA, FL 33950(941) 833-1760(941) 205-3374 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bayfront Health Medical Group Psychiatry NPPES

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

BAYFRONT HEALTH MEDICAL GROUP PSYCHIATRY (NPI 1740859552) is a healthcare organization registered as a general practice in Punta Gorda, Florida and active in the NPI registry since June 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1740859552

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC

Location Address713 E MARION AVE STE 121Punta Gorda, FL 33950-3862

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877

Phone(941) 833-1760

Fax(941) 205-3374

Organization SubpartNo

Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334

Enumeration DateJune 24, 2021

Last NPPES UpdateMarch 18, 2022

NPPES CertifiedMarch 18, 2022

✔ NPI 1740859552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

713 E MARION AVE STE 121, Punta Gorda, FL 33950

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Other Names 2

Doing Business AsBayfront Health Medical Group Psychiatry

Doing Business AsPunta Gorda Hma Physician Management Llc

Other Identifiers 1

Medicaid278522614FL

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Family Medicine