Individual provider · Type 1 NPI

Lisa A. Mattingly, MD

Family Medicine Physician · Port Charlotte, FL

NPI number 1104186907 Active

Practice location

1050 Loveland Blvd
Port Charlotte, FL 33980-1813

Call (941) 764-0301 Map

Mailing address

2710 Rew Cir Ste 200
Ocoee, FL 34761-2967

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XME146476 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1104186907

Lisa A. Mattingly, MD's National Provider Identifier is 1104186907, issued on May 25, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Port Charlotte, FL. The record was last updated on May 1, 2026.