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HARBOR CARDIOLOGY & VASCULAR CENTER PA
NPI 1922189018
Internal Medicine - Cardiovascular Disease in Port Charlotte, FL

Active since October 17, 2006CLIA 10D0294575 · Waiver
1620 TAMIAMI TRAIL, SUITE 300, PORT CHARLOTTE, FL 33948(941) 625-6187(941) 625-7887 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harbor Cardiology & Vascular Center Pa NPPES

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

HARBOR CARDIOLOGY & VASCULAR CENTER PA (NPI 1922189018) is a healthcare organization registered as a cardiovascular disease in Port Charlotte, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bala K Nandigam, President, as its authorized official.

NPPES Registry Identity

NPI1922189018
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHARBOR CARDIOLOGY & VASCULAR CENTER PA
Location Address1620 TAMIAMI TRAIL, SUITE 300Port Charlotte, FL 33948-4017
Mailing Address2400 Harbor Blvd Ste 12Port Charlotte, FL 33952-5038 · (941) 625-6187 · Fax (941) 625-7887
Phone(941) 625-6187
Fax(941) 625-7887
Organization SubpartNo
Authorized OfficialBala K NandigamPresident · (941) 625-6187
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 16, 2023
NPPES CertifiedMarch 16, 2023
✔ NPI 1922189018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME0048592
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.
1620 TAMIAMI TRAIL, Port Charlotte, FL 33948
Open in Google Maps ↗

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

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).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 10D0294575

Harbor Cardiology & Vascular Ctr PA · Port Charlotte, FL
Active · expires Aug 31, 2026
CLIA Number10D0294575
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBala K. Nandigam
Laboratory Phone(813) 625-6187
Laboratory LocationHarbor Cardiology & Vascular Ctr PA2400 Harbor Blvd Ste 12, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CHARLOTTE HEART & VASCULAR CENTER
Internal Medicine (Cardiovascular Disease)
1620 TAMIAMI TRAIL, SUITE 308
PORT CHARLOTTE, FL 33948
Charlotte County (941) 246-2482
ALEXANDRA KITCHENER APRN
Nurse Practitioner
1620 TAMIAMI TRAIL, SUITE 308
PORT CHARLOTTE, FL 33948
Charlotte County (941) 246-2482
MARIO J LOPEZ MD
Internal Medicine (Cardiovascular Disease)
1620 TAMIAMI TRAIL, SUITE 308
PORT CHARLOTTE, FL 33948
Charlotte County (941) 246-2482
MRS. KRISTIN A GARCIA-MILLER APRN
Nurse Practitioner (Acute Care)
1620 TAMIAMI TRAIL, SUITE 308
PORT CHARLOTTE, FL 33948
Charlotte County (941) 246-2482

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 Harbor Cardiology & Vascular Center PA's NPI number?

The NPI number for Harbor Cardiology & Vascular Center PA is 1922189018. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Harbor Cardiology & Vascular Center PA located?

Harbor Cardiology & Vascular Center PA is located at 1620 Tamiami Trail Suite 300, Port Charlotte, FL 33948. The listed phone number is (941) 625-6187.

What is Harbor Cardiology & Vascular Center PA's specialty?

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

Does Harbor Cardiology & Vascular Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0294575) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harbor Cardiology & Vascular Center PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Harbor Cardiology & Vascular Center PA 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 Harbor Cardiology & Vascular Center PA was last updated on March 16, 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.