OrganizationActive
Mario E Carbonell MD PA
NPI 1083864474 · Internal Medicine Physician · Port Charlotte, FL
Provider details
- NPI number
- 1083864474
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mario Carbonell, Owner(941) 766-1001
- License
- ME0065067 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
17912 Toldeo Blade Blvd Ste a
Port Charlotte, FL 33948-1042
Phone: (941) 766-1001
Fax: (941) 766-1830
Street-level locationGet directions
Mailing address
17912 Toldeo Blade Blvd Ste a
Port Charlotte, FL 33948-1042
Registry dates
- Enumerated
- 2008-09-23
- Last updated
- 2013-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.