Punta Gorda Hma, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

PUNTA GORDA HMA, LLC

Doing business as

Bayfront Health Home Infusion

Practice address

809 E Marion Ave
Punta Gorda, FL 33950-3819

Phone

(941) 637-2519

Fax

(941) 637-2565

NPI assigned

Nov 9, 2012

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

(615) 925-4565

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bayfront Health Home Infusion Doing business as

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1568716751",
    "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": "941-637-2519",
            "fax_number": "941-637-2565"
        },
        {
            "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": "941-637-2519",
            "fax_number": "941-637-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNTA GORDA HMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6728680001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayfront Health Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Home Infusion Therapy Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.