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Organization
PUNTA GORDA HMA LLC
Active
Organization
PUNTA GORDA HMA LLC
Active
Other names
Home Health Svcs of Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
809 E MARION AVE, PUNTA GORDA, FL 33950-3819
(941) 639-3131
Mailing address
809 E MARION AVE, PUNTA GORDA, FL 33950-3819
(941) 639-3131
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650449300
—
FL
01
—
J80
BLUE CROSS
FL
Enumeration date
06/03/2006
Last updated
07/28/2009
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