TCL MEDICAL NPI 1093398802

NPI Information

NPI: 1093398802
Provider Name: TCL MEDICAL
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 10D2217072

Address:
6613 49TH ST N
PINELLAS PARK, FL
ZIP 33781
Phone: (727) 954-4543
Get Directions

TCL MEDICAL is a psychiatric/mental health nurse practitioner in Pinellas Park, FL. TCL MEDICAL NPI is 1093398802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6613 49TH ST N
PINELLAS PARK, FL
ZIP 33781-728
Phone: (727) 954-4543
Fax: (727) 954-4586

The provider's authorized official is Islam Ganie .
The authorized official title is President and has the following contact phone number (727) 490-8670.

The CLIA number assigned to this NPI record is 10D2217072 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2021 and was last updated on 8/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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