Healthcare Provider Details

I. General information

NPI: 1336671643
Provider Name (Legal Business Name): TCM SOLUTIONS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 MONTANA AVE
SAINT CLOUD FL
34769-2101
US

IV. Provider business mailing address

239 MONTANA AVE
SAINT CLOUD FL
34769-2101
US

V. Phone/Fax

Practice location:
  • Phone: 321-900-5786
  • Fax:
Mailing address:
  • Phone: 321-900-5786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: GLORIA ORTIZ
Title or Position: CEO/ TARGET CASE MANAGER
Credential: SW, TCM. MPA
Phone: 321-900-5786