Active NPI
United Teledoc Inc
- Internal Medicine Physician
- Cape Coral, FL
National Provider Identifier
1801495585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UNITED TELEDOC INC
- Doing business as
- United Teledoc Inc
- Practice address
- 2231 Del Prado Blvd S
Cape Coral, FL 33990-4633 - Phone
- (602) 399-7256
- NPI assigned
- Oct 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammed Islam, MD
- Title
- Ceo
- Phone
- (602) 399-7256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2231 Del Prado Blvd S
Cape Coral, FL 33990-4633
Mailing address
2231 Del Prado Blvd S
Cape Coral, FL 33990-4633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME127358 | Other | FL | STATE LICENSE |
Other names 1
- UNITED TELEDOC INC
National Provider Directory
National Provider DirectoryLocations
2231 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 330-4869
231 Del Prado Blvd S
Cape Coral, FL 33990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606089600000",
"number": "1801495585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339904633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339904633",
"telephone_number": "602-399-7256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED TELEDOC INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-22",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-399-7256",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME127358",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UNITED TELEDOC INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UNITED TELEDOC INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.