Organization · Type 2 NPI

Integrative Wellness Centers of Port Charlotte, LLC

Clinic/Center · Port Charlotte, FL

NPI number 1487329348 Active

Practice location

3524 Tamiami Trl Ste 2012
Port Charlotte, FL 33952-8155

Call (941) 625-2667 Map

Fax (941) 315-9922

Mailing address

3524 Tamiami Trl Ste 201
Port Charlotte, FL 33952-8155

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other clinic/center providers in Port Charlotte

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NPI record

NPI: 1487329348
Entity type: Organization (Type 2)
Issued: Aug 12, 2021
Last updated: May 20, 2026
Status: Active

Other names

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Integrative Wellness Centers · doing business as
Integrative Wellness Centers of Port Charlotte · doing business as

Authorized official

Lillian Teresa Palmer
Ao
(941) 661-5425

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487329348

Integrative Wellness Centers of Port Charlotte, LLC's National Provider Identifier is 1487329348, issued on Aug 12, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Port Charlotte, FL. The record was last updated on May 20, 2026.