This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / FL
NURSE PRACTITIONER
Graduated: 2021
NPI: 1871220616
2400 HARBOR BLVD
PORT CHARLOTTE, FL 339525038
PO BOX, SUITE 178
CHATSWORTH, GA 30705
Source: CMS National Downloadable File, September 2026.