OrganizationActive
Luis Fernandez, MD
NPI 1174902944 · Non-Pharmacy Dispensing Site · Port Charlotte, FL
Provider details
- NPI number
- 1174902944
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Luis Fernandez, Proprietor(941) 764-7999
- License
- ME56435 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2625 Tamiami Trl
Suite 5
Port Charlotte, FL 33952-6403
Phone: (941) 661-3434
Fax: (941) 764-7039
Street-level locationGet directions
Mailing address
2625 Tamiami Trl
Port Charlotte, FL 33952-6403
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2015-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.