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

Northern Medical Center Inc

Organization General Practice Physician · NPI 1134567613

Northern Medical Center Inc provides General Practice Physician services in North Port, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12450 Tamiami Trl S Ste E
North Port, FL 34287-1473 Not confirmed with CMS for 12 years — call before visiting
Phone: (941) 257-4763
Fax: (941) 257-4766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1134567613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniil Supishchev — Owner · (941) 257-4763
NPI enumeratedJune 6, 2013
Last updated in NPPESOctober 10, 2013
Mailing address12450 Tamiami Trl S, Suite E, North Port, FL 34287-1473

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