OrganizationActive
Advanced Imaging of Port Charlotte
NPI 1225361850 · Diagnostic Radiology Physician · Port Charlotte, FL
Provider details
- NPI number
- 1225361850
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Fabian, Medical Director(941) 235-4646
- License
- HCC6183 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2625 Tamiami Trail
Unit 1
Port Charlotte, FL 33952
Phone: (941) 235-4646
Fax: (941) 235-4667
Approximate (ZIP-level) locationGet directions
Mailing address
2625 Tamiami Trail
Port Charlotte, FL 33952
Registry dates
- Enumerated
- 2009-09-15
- Last updated
- 2009-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.