Intellihealth Medical

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

INTELLIHEALTH MEDICAL

Practice address

3280 Tamiami TRL # 55a-294
Port Charlotte, FL 33952-8053

Phone

(323) 684-7024

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Estefania Perez

Title

President

Phone

(323) 684-7024

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1457994261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 TAMIAMI TRL # 55A-294",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528053",
            "telephone_number": "323-684-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 TAMIAMI TRL # 55A-294",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528053",
            "telephone_number": "323-684-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIHEALTH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ESTEFANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-684-7024"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrative and Restorative Medical Center
• Integrative Wellness Centers of Port Charlotte, LLC
• Integritas of Florida, LLC
• Ir Solutionsz, LLC
• Ishaani Home Care LLC
• Ishaani LLC
• Yasmeen M Islam, M.D. PA
• Island Adventures Foundation

• Adult Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.