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HARBORSIDE INTERNAL MEDICINE PA
NPI 1386664621
Internal Medicine in Punta Gorda, FL

Active since July 20, 2006CLIA 10D0987145 · Waiver
522 E MARION AVE, PUNTA GORDA, FL 33950(941) 637-1119 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harborside Internal Medicine Pa NPPES

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

HARBORSIDE INTERNAL MEDICINE PA (NPI 1386664621) is a healthcare organization registered as an internal medicine in Punta Gorda, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Timothy A Janz, President, as its authorized official.

NPPES Registry Identity

NPI1386664621
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHARBORSIDE INTERNAL MEDICINE PA
Location Address522 E MARION AVEPunta Gorda, FL 33950-3875
Mailing Address522 E Marion AvePunta Gorda, FL 33950-3814 · (941) 637-1119 · Fax (941) 637-1739
Phone(941) 637-1119
Organization SubpartNo
Authorized OfficialTimothy A JanzPresident · (941) 637-1119
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386664621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME71373✔ Licensed in FL · ME48819
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
522 E MARION AVE, Punta Gorda, FL 33950
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 10D0987145

Harborside Internal Medicine PA · Punta Gorda, FL
Active · expires Jul 16, 2027
CLIA Number10D0987145
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorDr. Timothy A. Janz
Laboratory Phone(941) 505-6037
Laboratory LocationHarborside Internal Medicine PA522 E Marion Ave Ste 201, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

TIMOTHY JANZ MD LLC
Internal Medicine
522 E MARION AVE
PUNTA GORDA, FL 33950
Charlotte County (941) 505-6033
DANIEL KLEIN MOENNING DDS
Dentist
522 E MARION AVE, 3RD FLOOR
PUNTA GORDA, FL 33950
Charlotte County (941) 575-9200
DR. TIMOTHY ALLEN JANZ MD
Internal Medicine
522 E MARION AVE
PUNTA GORDA, FL 33950
Charlotte County (941) 637-1119
MICHELLE WALBERT MOENNING DDS
Dentist
522 E MARION AVE, 3RD FLOOR HARBORSIDE DENTAL ASSOCIATES PA
PUNTA GORDA, FL 33950
Charlotte County (941) 575-9200
HARBORSIDE DENTAL ASSOC PCA
Dentist (General Practice)
522 E MARION AVE, 3RD FLOOR
PUNTA GORDA, FL 33950
Charlotte County (941) 575-9200

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 Harborside Internal Medicine PA's NPI number?

The NPI number for Harborside Internal Medicine PA is 1386664621. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Harborside Internal Medicine PA located?

Harborside Internal Medicine PA is located at 522 E Marion Ave, Punta Gorda, FL 33950. The listed phone number is (941) 637-1119.

What is Harborside Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Harborside Internal Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0987145) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harborside Internal Medicine PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.