| Bayfront Health Medical Group Psychiatry | |
|
713 E Marion Ave Ste 121 Punta Gorda FL 33950-3862 | |
| (941) 833-1760 | |
| (941) 205-3374 |
| Full Name | Bayfront Health Medical Group Psychiatry |
|---|---|
| Speciality | General Practice |
| Location | 713 E Marion Ave Ste 121, Punta Gorda, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayfront Health Medical Group Psychiatry Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Bayfront Health Medical Group Psychiatry 713 E Marion Ave Ste 121 Punta Gorda FL 33950-3862 Ph: (941) 833-1760 |
| NPI Number | 1740859552 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 03/18/2022 |
| Certification Date | 03/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740859552 | NPI | - | NPPES |
| 278522614 | Medicaid | FL |
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