SKILLED NURSING CARE MEDICAL GROUP LLC
NPI 1265849830
Family Medicine - Adult Medicine in Port Charlotte, FL

Q: What is Skilled Nursing Care Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since July 16, 2014

2335 AARON ST, PORT CHARLOTTE, FL 33952(855) 670-7400(855) 674-7401 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Skilled Nursing Care Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKILLED NURSING CARE MEDICAL GROUP LLC (NPI 1265849830) is a healthcare organization registered as an adult medicine in Port Charlotte, Florida and active in the NPI registry since July 2014. The organization lists David Koeninger, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265849830

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameSKILLED NURSING CARE MEDICAL GROUP LLC

Location Address2335 AARON STPort Charlotte, FL 33952-5305

Mailing Address3434 Hancock Bridge Pkwy, Ste 301North Fort Myers, FL 33903-7094 · (877) 856-3774 · Fax (239) 599-2625

Phone(855) 670-7400

Fax(855) 674-7401

Organization SubpartNo

Authorized OfficialDavid KoeningerCfo · (855) 674-7400

Enumeration DateJuly 16, 2014

Last NPPES UpdateAugust 1, 2014

✔ NPI 1265849830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2335 AARON ST, Port Charlotte, FL 33952

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MARY DOMINACH ARNP

Nurse Practitioner (Adult Health)

2335 AARON ST
PORT CHARLOTTE, FL 33952

Charlotte County (855) 979-5700

TIMOTHY FRANCIS PA

Physician Assistant

2335 AARON ST
PORT CHARLOTTE, FL 33952

Charlotte County (855) 979-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skilled Nursing Care Medical Group LLC's NPI number?

The NPI number for Skilled Nursing Care Medical Group LLC is 1265849830. It was assigned to this organization in the NPPES registry on July 16, 2014.

Where is Skilled Nursing Care Medical Group LLC located?

Skilled Nursing Care Medical Group LLC is located at 2335 Aaron St, Port Charlotte, FL 33952. The listed phone number is (855) 670-7400.

What is Skilled Nursing Care Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Skilled Nursing Care Medical Group LLC was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.