Healthcare Provider Details

I. General information

NPI: 1356191563
Provider Name (Legal Business Name): TMCS COMMUNITY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14508 LINCOLN BLVD STE 212
MIAMI FL
33176-7461
US

IV. Provider business mailing address

14629 SW 104TH ST # 412
MIAMI FL
33186-2905
US

V. Phone/Fax

Practice location:
  • Phone: 305-340-3664
  • Fax:
Mailing address:
  • Phone: 305-340-3664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY TODD KING
Title or Position: CHAIRMAN
Credential: RN
Phone: 305-305-2532