Healthcare Provider Details

I. General information

NPI: 1104526763
Provider Name (Legal Business Name): TMM CONSULTING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9780 E INDIGO ST STE 202
PALMETTO BAY FL
33157-5610
US

IV. Provider business mailing address

9780 E INDIGO ST STE 202
PALMETTO BAY FL
33157-5610
US

V. Phone/Fax

Practice location:
  • Phone: 305-252-9485
  • Fax: 305-252-9485
Mailing address:
  • Phone: 305-252-9485
  • Fax: 305-252-9485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND LEVY
Title or Position: PRESIDENT
Credential:
Phone: 305-252-9485