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Organization
UNITED TELEDOC INC
Active
Organization
UNITED TELEDOC INC
Active
Other names
UNITED TELEDOC INC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ISLAM MD (CEO)
(602) 399-7256
Entity
Organization
Contact information
Practice address
2231 DEL PRADO BLVD S, CAPE CORAL, FL 33990-4633
(602) 399-7256
Mailing address
2231 DEL PRADO BLVD S, CAPE CORAL, FL 33990-4633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME127358
STATE LICENSE
FL
Enumeration date
10/22/2020
Last updated
11/23/2020
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