| Tic Toc Healthcare Inc | |
|
17008 Usher Pl Upper Marlboro MD 20772-3443 | |
| (240) 552-2390 | |
| Not Available |
| Full Name | Tic Toc Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17008 Usher Pl, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Foluke Omobo (CEO) |
| Authorized Official Contact | 2405522390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tic Toc Healthcare Inc 17008 Usher Pl Upper Marlboro MD 20772-3443 Ph: (240) 552-2390 | Tic Toc Healthcare Inc 17008 Usher Pl Upper Marlboro MD 20772-3443 Ph: (240) 552-2390 |
| NPI Number | 1013635051 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 4385020999 |
|---|---|
| Medicare Enrollment ID | O20221005002819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013635051 | NPI | - | NPPES |
| Provider Name | Foluke Titilay Omobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013455898 PECOS PAC ID: 4183027980 Enrollment ID: I20210730000090 |
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