Active NPI
Pacifica Care of Suncoast, LLC
- Adult Mental Health Clinic/Center
- Punta Gorda, FL
National Provider Identifier
1871310532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- PACIFICA CARE OF SUNCOAST, LLC
- Practice address
- 24451 Sandhill Blvd Unit B
Punta Gorda, FL 33983-5214 - Phone
- (941) 347-8447
- NPI assigned
- Sep 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Treesh, DO
- Title
- Owner
- Phone
- (904) 221-2232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
24451 Sandhill Blvd Unit B
Punta Gorda, FL 33983-5214
Mailing address
13121 Atlantic Blvd Ste 100
Jacksonville, FL 32225-0102
Phone (904) 221-2232
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1871310532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13121 ATLANTIC BLVD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322250102",
"telephone_number": "904-221-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24451 SANDHILL BLVD UNIT B",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339835214",
"telephone_number": "941-347-8447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFICA CARE OF SUNCOAST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "TREESH",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-221-2232",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.