Charlotte Heart & Vascular Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CHARLOTTE HEART & VASCULAR CENTER

Practice address

1620 Tamiami Trail
Suite 308
Port Charlotte, FL 33948-4017

Phone

(941) 246-2482

Fax

(941) 979-9074

NPI assigned

Dec 29, 2022

Last updated

Nov 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario J Lopez, MDNPI 1710990882

Title

Owner/Physician

Phone

(941) 246-2482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario J Lopez, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1710990882
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin A Garcia-Miller, APRN

  • Acute Care Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1770966335
  Medicare reassignment Care Compare group NPD
• Alexandra Kitchener, APRN

  • Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1629616552
  Medicare reassignment Care Compare group NPD
• Karen Rudolph, APRN

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1346567674
  Medicare reassignment NPD
• Daniel Bendetowicz, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1891793287
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1477266971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TAMIAMI TRAIL",
            "address_2": "SUITE 308",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484017",
            "telephone_number": "941-246-2482",
            "fax_number": "941-979-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TAMIAMI TRAIL",
            "address_2": "SUITE 308",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484017",
            "telephone_number": "941-246-2482",
            "fax_number": "941-979-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE HEART & VASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "941-246-2482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Harbor Rehab LLC (Charlotte Harbor Healthcare)
• Charlotte Harbor Wellness P a
• Charlotte Health Center LLC
• Charlotte Health Solutions Inc
• Charlotte Hearing Center, Inc.
• Charlotte Heart and Vascular Institute PA
• Charlotte Heart Pharmacy LLC
• Charlotte Integrative Medicine
• Charlotte Internal Medicine Associates, P.a.
• Charlotte Nephrology Associates PA

• Cardiovascular Disease Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.