Charlotte Internal Medicine Associates, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARLOTTE INTERNAL MEDICINE ASSOCIATES, P.A.

Practice address

2400 Harbor Blvd
Ste 19
Port Charlotte, FL 33952-5038

Phone

(941) 624-2787

Fax

(941) 624-3047

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Cyriac Koppuzha, MDNPI 1982648101

Title

President

Phone

(941) 624-2787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• George Cyriac Koppuzha, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1982648101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1851320923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 19",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525038",
            "telephone_number": "941-624-2787",
            "fax_number": "941-624-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 19",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525038",
            "telephone_number": "941-624-2787",
            "fax_number": "941-624-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE INTERNAL MEDICINE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "KOPPUZHA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "CYRIAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-624-2787",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Hearing Center, Inc.
• Charlotte Heart & Vascular Center
• Charlotte Heart and Vascular Institute PA
• Charlotte Heart Pharmacy LLC
• Charlotte Integrative Medicine
• Charlotte Nephrology Associates PA
• Charlotte Optical Inc
• Charlotte Orthopaedic Clinic Professional Association
• Charlotte Pain Center Inc
• Charlotte Pain Clinic Incorporated

• 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 Dec 8, 2025; 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.