Charlotte County Primary Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARLOTTE COUNTY PRIMARY CARE PA

Practice address

3067 Tamiami TRL
Unit 3
Port Charlotte, FL 33952-6601

Phone

(941) 613-1700

Fax

(941) 258-3370

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jose M Garcia, MDNPI 1982682779

Title

Owner

Phone

(941) 613-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose M Garcia, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1982682779
  NPD (past) Authorized official
• Steven D Christesen, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1871586602
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1285849141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380639",
            "city": "MURDOCK",
            "state": "FL",
            "postal_code": "339380639",
            "telephone_number": "941-613-1700",
            "fax_number": "941-258-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 TAMIAMI TRL",
            "address_2": "UNIT 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526601",
            "telephone_number": "941-613-1700",
            "fax_number": "941-258-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE COUNTY PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-613-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OTHER LOCATION",
            "identifier": "1215937735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte County Chiropractic Clinic LLC
• Charlotte County Family YMCA, Inc
• Charlotte County Foot Clinics LLC
• Charlotte County Medical Solutions Inc
• Charlotte County Primary Care & Walk in PA
• Charlotte Endoscopic Surgery Center LLC
• Charlotte Family Dentistry LLC
• Charlotte Harbor Gastroenterology LLC
• Charlotte Harbor Rehab LLC
• Charlotte Harbor Wellness P a

• Internal Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.