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

Dominica Ngozi Orisakwe

Individual provider Nurse Practitioner · NPI 1679067425

Dominica Ngozi Orisakwe is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2018, 8 years ago. Practices with Harbor Medical Group LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3390 Tamiami Trl Ste 204
Port Charlotte, FL 33952-8162
Phone: (941) 391-5495
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3209032 (FL)

Record details

NPI number1679067425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESJune 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Harbor Medical Group Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Charlotte