| Tcmmd Llc | |
|
2011 S 25th St Ste 206 Fort Pierce FL 34947-4795 | |
| (772) 237-3600 | |
| (772) 236-7887 |
| Full Name | Tcmmd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2011 S 25th St Ste 206, Fort Pierce, Florida |
| Authorized Official Name and Position | Matthew Scott Kuykendall (PRESIDENT) |
| Authorized Official Contact | 7724107751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcmmd Llc 2011 S 25th St Ste 206 Fort Pierce FL 34947-4795 Ph: (772) 237-3600 | Tcmmd Llc 2011 S 25th St Ste 206 Fort Pierce FL 34947-4795 Ph: (772) 237-3600 |
| NPI Number | 1033804265 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 8224566401 |
|---|---|
| Medicare Enrollment ID | O20250115003702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033804265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Adam Sterlace |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811033863 PECOS PAC ID: 8820256340 Enrollment ID: I20231003000504 |
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