Organization · Type 2 NPI

Intellihealth Medical

Adult Medicine Physician · Port Charlotte, FL

NPI number 1457994261 Active

Practice location

3280 Tamiami Trl # 55A-294
Port Charlotte, FL 33952-8053

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1457994261

Intellihealth Medical's National Provider Identifier is 1457994261, issued on Oct 24, 2019. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 24, 2019.