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DOUGLAS GLENN HENRICKS M.D.
NPI 1417970948
Internal Medicine in Port Charlotte, FL

Active since July 25, 2006
2450 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 624-2704(941) 627-6066 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Glenn Henricks M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS GLENN HENRICKS M.D. (NPI 1417970948) is an individual internal medicine provider in Port Charlotte, Florida, licensed in Florida (ME0041258) and active in the NPI registry since July 2006. He maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1417970948
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS GLENN HENRICKSCredential: M.D.
Location Address2450 TAMIAMI TRLPort Charlotte, FL 33952
Mailing Address3434 Hancock Bridge Pkwy Ste 301North Fort Myers, FL 33903-7099 · (877) 856-3774 · Fax (239) 599-2612
Phone(941) 624-2704
Fax(941) 627-6066
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 12, 2019
✔ NPI 1417970948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0041258
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2450 TAMIAMI TRL, Port Charlotte, FL 33952
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Secondary Practice Location 1

Location 16311 S Pointe BlvdFort Myers, FL 33919-4901 · Phone (239) 275-0040 ext. 206 · Fax (239) 275-7997

Other Identifiers 1

Other36367VFL · Unspecified

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EBRAHIM PAPAN M.D.
Internal Medicine
2450 TAMIAMI TRL, STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
BRIAN J KERBYSON D.O.
General Practice
2450 TAMIAMI TRL, SUITE A
PT CHARLOTTE, FL 33952
Charlotte County (941) 627-7204
DONALD E KENNEDY DO
Family Medicine
2450 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
ELEONORA HACKMAN-KERBYSON MD
Internal Medicine
2450 TAMIAMI TRL, STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 624-2704
MS. VENDA KELLEY ARNP
Nurse Practitioner (Family)
2450 TAMIAMI TRL, STE A
PORT CHARLOTTE, FL 33952
Charlotte County (877) 856-3774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Henricks's NPI number?

The NPI number for Douglas Henricks is 1417970948. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Douglas Henricks located?

Douglas Henricks practices at 2450 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 624-2704.

What is Douglas Henricks's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Douglas Henricks was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.