Punta Gorda Hma LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4435 Issued in FL

Legal business name

PUNTA GORDA HMA LLC

Practice address

809 E Marion Ave
Punta Gorda, FL 33950-3819

Phone

(941) 637-3128

NPI assigned

May 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paula Lalor

Title

Director/Delegated Official

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shorepoint Health Punta Gorda Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1104870245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503819",
            "telephone_number": "941-637-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503819",
            "telephone_number": "941-637-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNTA GORDA HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110027700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "529",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shorepoint Health Punta Gorda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheryl Lynn Puckett
• Pulmonary Associates of Charlotte County LLP
• Punta Gorda Dental Care
• Punta Gorda Family Physical Therapy, Inc
• Punta Gorda Hma LLC
• Punta Gorda Hma LLC
• Punta Gorda Hma LLC
• Punta Gorda Hma Physician Management LLC
• Punta Gorda Hma Physician Management LLC
• Punta Gorda Hma Physician Management LLC

• General Acute Care Hospital in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.