Charlotte Internal Medicine Associates Pa

LBN: Charlotte Internal Medicine Associates Pa
Charlotte Internal Medicine Associates Pa is an health care organization with primary practice located at 2091 Tamiami Trl , Port Charlotte FL 33948-2112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Charlotte Internal Medicine Associates Pa can be contacted via phone (941) 625-9494, or through Koppuzha, George C via phone (941) 625-9494.

Contact Information

Primary practice address
2091 Tamiami Trl Port Charlotte FL 33948-2112
Phone: (941) 625-9494
Fax: (941) 743-8562
Website:
Map and Directions
Authorized official contact:
Name: Koppuzha, George C Doctor of Medicine (MD)
Phone: (941) 625-9494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1851320923
LBN Legal business name Charlotte Internal Medicine Associates Pa
DBA Doing business as
Authorized official Koppuzha, George C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Feb 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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