Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlotte Harbor Wellness P A

Organization Internal Medicine Physician · NPI 1215613419

Charlotte Harbor Wellness P A provides Internal Medicine Physician services in Port Charlotte, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2811 Tamiami Trl
Port Charlotte, FL 33952-5173
Phone: (941) 613-1919
Fax: (941) 613-4077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1215613419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tetyana Metyk — Owner · (941) 613-1919
NPI enumeratedJune 23, 2023
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address3191 Harbor Blvd Ste D, Port Charlotte, FL 33952-6755

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