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General NPI Number Information
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NPI Number | 1922609213
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Entity Type | Organization
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Legal Business Name | AMERICAN TELEMEDICINE HEALTHCARE LLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 601 GRAY AVE
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City | WILDWOOD
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State | FL
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Zip | 34785-3520
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Country | US
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Telephone | 352-399-2422
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Fax | 352-399-2427
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Provider Business Mailing Address
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Address Line | 601 GRAY AVE
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City | WILDWOOD
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State | FL
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Zip | 34785-3520
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Country | US
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Telephone | 352-399-2422
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Fax | 352-399-2427
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Authorized Official
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Title or Position | PRESIDENT/MANAGER
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Name | FURQAN MUHAMMAD
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Credential | MD
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Telephone | 813-304-9263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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