MEDICARE: TROPICANA & JONES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1730431537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TROPICANA & JONES, LLC

Provider Business Mailing Address
First Line	:	3336 E CHANDLER HEIGHTS RD
Second Line	:	STE 121
City	:	GILBERT
State	:	AZ
Zip	:	85298
Country	:	US
Telephone Number	:	480-840-3075
Fax Number	:

Provider Business Practice Location Address
First Line	:	6105-6125 W TROPICANA AVENUE
Second Line	:	SUITE A,B,C
City	:	LAS VEGAS
State	:	AZ
Zip	:	89103
Country	:	US
Telephone Number	:	480-840-3075
Fax Number	:

Authorized Official
Title or Position	:	SENIOR EXECUTIVE VP OPERATIONS
Name	:	SANDRA GRONBERG
Credential	:
Telephone Number	:	480-840-3075

Provider Enumeration Date	:	10/04/2012
Last Update Date	:	10/04/2012

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