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General NPI Number Information
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NPI Number | 1467828228
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL CARE MEDICAL ASSOCIATES INC.
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 12989 SOUTHERN BLVD, MOD 3, STE 202
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9291
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Country | US
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Telephone | 561-793-6633
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Fax | 561-793-6693
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Provider Business Mailing Address
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Address Line | 12989 SOUTHERN BLVD, MOD 3, STE 202
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9291
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Country | US
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Telephone | 561-793-6633
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Fax | 561-793-6693
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAJENDRAN NAIDOO
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Credential | M.D.
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Telephone | 646-295-3870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | ME100199
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9381403
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | ME100199
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License Number State | FL
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