| TC Physicians LLC | |
|
1100 Sw Saint Lucie West Blvd Ste 209 Port St Lucie FL 34986-1735 | |
| (772) 204-8889 | |
| (772) 204-8895 |
| Full Name | TC Physicians LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1100 Sw Saint Lucie West Blvd Ste 209, Port St Lucie, Florida |
| Authorized Official Name and Position | Siddhartha Pagidipati (OWNER) |
| Authorized Official Contact | 7722048889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| TC Physicians LLC 1202 Mariner Blvd Spring Hill FL 34609-5603 Ph: (352) 277-5305 | TC Physicians LLC 1100 Sw Saint Lucie West Blvd Ste 209 Port St Lucie FL 34986-1735 Ph: (772) 204-8889 |
| NPI Number | 1831718154 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831718154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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