Organization Active NPI

Charlotte County Medical Solutions Inc

  • Pain Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1619283033
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
PMC56 Issued in FL
Legal business name
CHARLOTTE COUNTY MEDICAL SOLUTIONS INC
Practice address
3191 Harbor Blvd
Suite C
Port Charlotte, FL 33952-6755
Phone
(941) 206-2630
Fax
(941) 206-2633
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Emiliya S Hill, M.D.
Title
Medical Director
Phone
(239) 274-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X PMC56 FL Primary

Addresses

Primary practice location

3191 Harbor Blvd
Suite C
Port Charlotte, FL 33952-6755

Mailing address

3822 Broadway
Suite C
Fort Myers, FL 33901-8148
Phone (239) 274-3004

National Provider Directory

National Provider Directory

Locations

3191 Harbor Blvd
Ste C
Pt Charlotte, FL 33952
Phone (941) 206-2630

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1619283033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 BROADWAY",
            "address_2": "SUITE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018148",
            "telephone_number": "239-274-3004",
            "fax_number": "239-274-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 HARBOR BLVD",
            "address_2": "SUITE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526755",
            "telephone_number": "941-206-2630",
            "fax_number": "941-206-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE COUNTY MEDICAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "EMILIYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-274-3004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "PMC56",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.