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Organization
PORT CHARLOTTE HMA LLC
Active
Organization
PORT CHARLOTTE HMA LLC
Active
Other names
ShorePoint Health Port Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4140
Mailing address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4140
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
4340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010028500
—
FL
01
—
545
BLUE CROSS
FL
Enumeration date
05/17/2006
Last updated
12/16/2021
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