Healthcare Provider Details

I. General information

NPI: 1477341220
Provider Name (Legal Business Name): TECS FL PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4875 CASON COVE DR
ORLANDO FL
32811-6302
US

IV. Provider business mailing address

18312 MIDDLEBELT RD
LIVONIA MI
48152-5007
US

V. Phone/Fax

Practice location:
  • Phone: 407-420-2090
  • Fax:
Mailing address:
  • Phone: 248-426-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFF PIERCE
Title or Position: PRESIDENT
Credential: DO
Phone: 224-777-8045