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

Northern Medical Center Inc

Organization General Practice Physician · NPI 1134567613

Northern Medical Center Inc is a General Practice Physician in North Port, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12450 Tamiami Trl S Ste E
North Port, FL 34287-1473
Phone: (941) 257-4763
Fax: (941) 257-4766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1134567613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniil Supishchev — Owner · (941) 257-4763
NPI enumeratedJune 6, 2013
Last updated in NPPESOctober 10, 2013
Mailing address12450 Tamiami Trl S, Suite E, North Port, FL 34287-1473

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