| T.p.d.s., Inc. | |
|
3001 Aloma Ave Winter Park FL 32792-3752 | |
| (407) 567-7011 | |
| (407) 567-7011 |
| Full Name | T.p.d.s., Inc. |
|---|---|
| Speciality | Case Management |
| Location | 3001 Aloma Ave, Winter Park, Florida |
| Authorized Official Name and Position | Latonya Smith (MEDICAL PROVIDER) |
| Authorized Official Contact | 3214373715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.p.d.s., Inc. 7228 Clarcona Ocoee Rd Unit 124 Clarcona FL 32710-2001 Ph: (321) 437-3715 | T.p.d.s., Inc. 3001 Aloma Ave Winter Park FL 32792-3752 Ph: (407) 567-7011 |
| NPI Number | 1790283695 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790283695 | NPI | - | NPPES |
| 023701300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Secondary |
| 251B00000X | Case Management | (Florida) | Primary |
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