Organization Active NPI

United Teledoc Inc

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1801495585
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Nov 23, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ME127358OtherFLSTATE LICENSE

Other names 1

  • UNITED TELEDOC INC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.