OrganizationActive
360 Primary Care LLC
NPI 1427901164 · Internal Medicine Physician · Port Charlotte, FL
Provider details
- NPI number
- 1427901164
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jake Hager, Owner(701) 351-2566
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2400 Harbor Blvd Ste 11
Port Charlotte, FL 33952-5038
Phone: (941) 218-0544
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Harbor Blvd Ste 11
Port Charlotte, FL 33952-5038
Registry dates
- Enumerated
- 2026-02-20
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.