Organization Active NPI

Medial Solutions

  • Internal Medicine Physician
  • Marco Island, FL
National Provider Identifier
1124364633
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDIAL SOLUTIONS
Practice address
19 Bald Eagle Dr Ste C
Marco Island, FL 34145-3580
Phone
(239) 687-0512
Fax
(239) 394-7706
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yolanda Hamlet
Title
Administrator
Phone
(239) 687-0512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19 Bald Eagle Dr Ste C
Marco Island, FL 34145-3580

Mailing address

19 Bald Eagle Dr Ste C
Marco Island, FL 34145-3580
Phone (239) 687-0512

National Provider Directory

National Provider Directory

Locations

19 Bald Eagle Dr
Ste C
Marco Island, FL 34145
Phone (239) 394-8600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1124364633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BALD EAGLE DR STE C",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453580",
            "telephone_number": "239-687-0512",
            "fax_number": "239-394-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BALD EAGLE DR STE C",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453580",
            "telephone_number": "239-687-0512",
            "fax_number": "239-394-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "HAMLET",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-687-0512"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.