Wellformed AI

NPI 1669930434 · live from the CMS NPI Registry

American Telehealth Solutions

Internal Medicine in Port Charlotte, FL. National Provider Identifier 1669930434, active.

NPI record

NPI1669930434 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location1777 Tamiami Trl Ste 303-13, Port Charlotte, FL 33948
Practice phone239-281-3540
EnumeratedMarch 11, 2019
Last updatedJune 11, 2019
Authorized officialDerrick Adams, Managing Partner

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X—
Internal Medicine, Geriatric Medicine207RG0300X—
Internal Medicine, Infectious Disease207RI0200X—
Internal Medicine, Nephrology207RN0300X—
Psychiatry & Neurology, Neurology2084N0400X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.