Healthcare Provider Details
I. General information
NPI: 1457998130
Provider Name (Legal Business Name): TMS MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2019
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2711 SW 137TH AVE STE 94
MIAMI FL
33175-6361
US
IV. Provider business mailing address
2711 SW 137TH AVE STE 94
MIAMI FL
33175-6361
US
V. Phone/Fax
- Phone: 786-409-3651
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NELSON
RAMIREZ-GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-456-3806