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Organization

CHARLOTTE HARBOR WELLNESS P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TETYANA METYK MD (OWNER)
(941) 613-1919
Entity
Organization

Contact information

Practice address
2811 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5173
(941) 613-1919
(941) 613-4077
Mailing address
3191 HARBOR BLVD STE D, PORT CHARLOTTE, FL 33952-6755
(941) 613-1919

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/23/2023
Last updated
01/09/2024
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