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Punta Gorda Hma Physician Management LLC

General Practice Physician in Punta Gorda, FL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740859552

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Registry record

Entity type Organization (Type 2)
Legal business name Punta Gorda Hma Physician Management LLC
Other name <Unavail>
Practice address 713 E Marion Ave Ste 121, Punta Gorda, FL, 33950
Phone (941) 833-1760
Fax (941) 205-3374
Enumeration date Jun 24, 2021
Last updated in NPPES Mar 18, 2022

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding
Phone (615) 465-3334

Other identifiers

Identifier Type State Issuer
278522614 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Punta Gorda Hma Physician Management LLC?
The NPI for Punta Gorda Hma Physician Management LLC is 1740859552, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Punta Gorda Hma Physician Management LLC?
NPPES lists Jennifer Jackson (Sr Dir Prov Enrollment & Onboarding) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-18.