OrganizationCharlotte Heart And Vascular Institute PaSpecialistOther Service ProvidersPractice Address3340 Tamiami Trail, Port Charlotte, FL 33952-8088(941) 764-5858PECOS EnrollmentBased on the most recent information from CMS, provider Charlotte Heart And Vascular Institute Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:30 PM.Profile DetailsProvider ID1558441550Provider TypeOrganizationFull NameCharlotte Heart And Vascular Institute PaSubpartNoEnumeration Date10/16/2006Last Updated2/2/2015Contact InformationPractice LocationPractice Address3340 Tamiami Trail, Port Charlotte, FL 33952-8088Phone(941) 764-5858Fax(941) 764-1627Mailing LocationMailing AddressPO Box 495120, Port Charlotte, FL 33949-5120Phone(941) 764-5858Fax(941) 613-1300Authorized OfficialNameSchuldt, Leslie M (Billing/Coding Mang.)Phone(941) 764-5858Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer