| Tri County Medical Associates Pa | |
|
820 Deltona Blvd Suite A Deltona FL 32725-7177 | |
| (386) 860-4545 | |
| (386) 860-5632 |
| Full Name | Tri County Medical Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 820 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Pamela Pearson Hall (VICE PRESIDENT) |
| Authorized Official Contact | 3868604545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Medical Associates Pa 820 Deltona Blvd Suite A Deltona FL 32725-7177 Ph: (386) 860-4545 | Tri County Medical Associates Pa 820 Deltona Blvd Suite A Deltona FL 32725-7177 Ph: (386) 860-4545 |
| NPI Number | 1831234160 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831234160 | NPI | - | NPPES |
| 377330200 | Medicaid | FL | |
| CA7444 | Other | PALMETTO GBA GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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