OrganizationActive
Coastal Cardiololgy & Vascular Center
NPI 1033494547 · Internal Medicine Physician · Port Charlotte, FL
Provider details
- NPI number
- 1033494547
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bala Nandigam, President(941) 625-6187
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1620 Tamiami Trl
Suite 300
Port Charlotte, FL 33948-4015
Phone: (941) 625-6187
Fax: (941) 625-7887
Street-level locationGet directions
Mailing address
1620 Tamiami Trl
Port Charlotte, FL 33948-4015
Registry dates
- Enumerated
- 2011-10-15
- Last updated
- 2011-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.