# INTELLIHEALTH MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457994261
- **Authorized official:** ESTEFANIA PEREZ (PRESIDENT)
- **Authorized official phone:** (323) 684-7024

## Contact information

- **Practice address:** 3280 TAMIAMI TRL \# 55A-294, PORT CHARLOTTE, FL 33952-8053
- **Practice address phone:** (323) 684-7024
- **Mailing address:** 3280 TAMIAMI TRL \# 55A-294, PORT CHARLOTTE, FL 33952-8053
- **Mailing address phone:** (323) 684-7024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2019
- **Last updated:** 10/24/2019
