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PEACE RIVER CARDIOVASCULAR CENTER
NPI 1326553793
Internal Medicine - Cardiovascular Disease in Port Charlotte, FL

Active since December 07, 2017CLIA 10D2141260 · Waiver
4161 TAMIAMI TRL STE 701, PORT CHARLOTTE, FL 33952(941) 629-5356(941) 629-4987 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Feb 14, 2023, May 17, 2021 and 2 more (5 updates tracked since 2017).

About Peace River Cardiovascular Center NPPES

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

PEACE RIVER CARDIOVASCULAR CENTER (NPI 1326553793) is a healthcare organization registered as a cardiovascular disease in Port Charlotte, Florida and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through December 10, 2027, maintains a secondary practice location in Port Charlotte, and lists Adrienne Goff Bandler, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1326553793
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePEACE RIVER CARDIOVASCULAR CENTER
Location Address4161 TAMIAMI TRL STE 701Port Charlotte, FL 33952
Mailing Address4161 Tamiami Trl Ste 701Port Charlotte, FL 33952-9283 · (941) 629-5356 · Fax (941) 629-4987
Phone(941) 629-5356
Fax(941) 629-4987
Organization SubpartNo
Authorized OfficialAdrienne Goff BandlerPractice Manager · (941) 629-5356
Enumeration DateDecember 7, 2017
Last NPPES UpdateApril 26, 20235 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1326553793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4161 TAMIAMI TRL STE 701, Port Charlotte, FL 33952
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Secondary Practice Location 1

Location 14130 Tamiami Trl Unit 302Port Charlotte, FL 33952-9207 · Phone (941) 629-5356 · Fax (941) 629-5878

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), WellSense Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2141260

Peace River Cardiovascular Center · Port Charlotte, FL
Active · expires Dec 10, 2027
CLIA Number10D2141260
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorDavid A. Hotchkiss
Laboratory Phone(941) 629-5356
Laboratory LocationPeace River Cardiovascular Center4161 Tamiami Trail Ste 701, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. MELODY STRATTAN D.O.
Internal Medicine (Interventional Cardiology)
4161 TAMIAMI TRL STE 701
PORT CHARLOTTE, FL 33952
Charlotte County (941) 255-1084
DR. DAVID ALLEN HOTCHKISS M.D.
Internal Medicine (Cardiovascular Disease)
4161 TAMIAMI TRL STE 701
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-5356
MR. MICHAEL D BRUNO PA-C
Physician Assistant
4161 TAMIAMI TRL STE 701
PORT CHARLOTTE, FL 33952
Charlotte County (941) 629-5356

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 Peace River Cardiovascular Center's NPI number?

The NPI number for Peace River Cardiovascular Center is 1326553793. It was assigned to this organization in the NPPES registry on December 7, 2017.

Where is Peace River Cardiovascular Center located?

Peace River Cardiovascular Center is located at 4161 Tamiami Trl Ste 701, Port Charlotte, FL 33952. The listed phone number is (941) 629-5356.

What is Peace River Cardiovascular Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Peace River Cardiovascular Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2141260) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peace River Cardiovascular Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and WellSense Health Plan list Peace River Cardiovascular Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peace River Cardiovascular Center was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.