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

Coastal Cardiololgy & Vascular Center

Organization Internal Medicine Physician · NPI 1033494547

Coastal Cardiololgy & Vascular Center is an Internal Medicine Physician in Port Charlotte, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

1620 Tamiami Trl Ste 300
Port Charlotte, FL 33948-4015
Phone: (941) 625-6187
Fax: (941) 625-7887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1033494547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bala Nandigam — President · (941) 625-6187
NPI enumeratedOctober 15, 2011
Last updated in NPPESOctober 15, 2011
Mailing address1620 Tamiami Trl, Suite 300, Port Charlotte, FL 33948-4015

Other providers in Port Charlotte