Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Douglas Glenn Henricks, MD

Individual provider Internal Medicine Physician · NPI 1417970948

Douglas Glenn Henricks, MD is an Internal Medicine Physician in Port Charlotte, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Tamiami Trl
Port Charlotte, FL 33952
Phone: (941) 624-2704
Fax: (941) 627-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6311 S Pointe Blvd, Fort Myers, FL 33919-4901 — (239) 275-0040
  • 6311 S Pointe Blvd, Fort Myers, FL 33919-4901 — (239) 275-0040

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0041258 (FL)

Record details

NPI number1417970948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESMarch 12, 2019
Mailing address3434 Hancock Bridge Pkwy Ste 301, North Fort Myers, FL 33903-7099

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