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NPI Code Detail

MEDICARE: TJD MEDICAL INC

MEDICARE: TJD MEDICAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies739FL

General Provider Information

NPI Number : 1598712473
Entity Type Code : Organization
Provider Name (Legal Business Name) : TJD MEDICAL INC
Provider Business Mailing Address
First Line : PO BOX 77
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-0077
Country : US
Telephone Number : 813-780-8159
Fax Number : 813-779-9185
Provider Business Practice Location Address
First Line : 6421 GALL BLVD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2570
Country : US
Telephone Number : 813-780-8159
Fax Number : 813-779-9185
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. KARIN LYNN BLUM
Credential :
Telephone Number : 813-780-8159
Provider Enumeration Date : 05/27/2006
Last Update Date : 08/22/2020

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Directions to “TJD MEDICAL INC ” Practice Location

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