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General NPI Number Information
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NPI Number | 1134227838
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Entity Type | Organization
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Legal Business Name | TRUE CARE MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 311 NE 8TH ST SUITE # 101
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City | HOMESTEAD
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State | FL
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Zip | 33030-4738
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Country | US
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Telephone | 305-245-6576
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Fax | 305-245-6089
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Provider Business Mailing Address
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Address Line | 311 NE 8TH ST SUITE # 101
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City | HOMESTEAD
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State | FL
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Zip | 33030-4738
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Country | US
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Telephone | 305-245-6576
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Fax | 305-245-6089
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Authorized Official
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Title or Position | VICE-PRECIDENT
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Name | MRS. LUCY STANSBURY TYLER
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Credential | M.D.
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Telephone | 305-245-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0038281
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License Number State | FL
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