Organization
CHARLOTTE INTERNAL MEDICINE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CYRIAC KOPPUZHA MD (PRESIDENT)
(941) 624-2787
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD, STE 19, PORT CHARLOTTE, FL 33952-5038
(941) 624-2787
(941) 624-3047
Mailing address
2400 HARBOR BLVD, STE 19, PORT CHARLOTTE, FL 33952-5038
(941) 624-2787
(941) 624-3047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
12/08/2025
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