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Organization

PUNTA GORDA HMA LLC

Active
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Organization

PUNTA GORDA HMA LLC

Active
Other names
Shorepoint Behavioral Center
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization

Contact information

Practice address
733 E OLYMPIA AVE, PUNTA GORDA, FL 33950-3841
(941) 637-2474
Mailing address
809 E MARION AVE, PUNTA GORDA, FL 33950-3819
(941) 639-3131

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010027700
FL
01
529
BLUE CROSS
FL
Enumeration date
06/05/2006
Last updated
12/14/2021
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