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

Port Charlotte Detox LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1497408488

Port Charlotte Detox LLC is a Substance Abuse Rehabilitation Facility in Port Charlotte, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3460 Depew Ave
Port Charlotte, FL 33952-7015
Phone: (609) 342-9430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1497408488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Meise — Ceo · (609) 342-9430
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022
Mailing address3460 Depew Ave, Port Charlotte, FL 33952-7015

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