Integrative Wellness Centers of Port Charlotte, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INTEGRATIVE WELLNESS CENTERS OF PORT CHARLOTTE, LLC

Practice address

3524 Tamiami TRL Ste 2012
Port Charlotte, FL 33952-8155

Phone

(941) 625-2667

Fax

(941) 315-9922

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Lillian Teresa Palmer

Title

Ao

Phone

(941) 661-5425

Specialties & licenses 1

Addresses

Other names 2

• Integrative Wellness Centers Doing business as
• Integrative Wellness Centers of Port Charlotte Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Melissa L Harmon, DC

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1932332061
  Medicare reassignment NPD
• Edwin Patrick Soriano, M.D

  • Internal Medicine Physician
  • Winter Garden, FL
  • NPI 1487848578
  Medicare reassignment NPD
• Ashley Leigh Adkins, PA-C

  • Medical Physician Assistant
  • Chesapeake, VA
  • NPI 1508186073

  FL

  Medicare reassignment

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1487329348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 TAMIAMI TRL STE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528155",
            "telephone_number": "941-625-2667",
            "fax_number": "941-315-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 TAMIAMI TRL STE 2012",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528155",
            "telephone_number": "941-625-2667",
            "fax_number": "941-315-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS CENTERS OF PORT CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "941-661-5425"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrative Wellness Centers of Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.