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

Harborside Internal Medicine PA

Organization Internal Medicine Physician · NPI 1386664621

Harborside Internal Medicine PA is an Internal Medicine Physician in Punta Gorda, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

522 E Marion Ave
Punta Gorda, FL 33950-3875
Phone: (941) 637-1119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME71373 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME48819 (FL)

Record details

NPI number1386664621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Janz — President · (941) 637-1119
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address522 E Marion Ave, Punta Gorda, FL 33950-3814

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