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NPI Code Detail

MEDICARE: TCMPEO

MEDICARE: TCMPEO
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1750924643
Entity Type Code : Organization
Provider Name (Legal Business Name) : TCMPEO
Provider Business Mailing Address
First Line : 2700 SW 27TH AVE PH 3
Second Line :
City : MIAMI
State : FL
Zip : 33133-3059
Country : US
Telephone Number : 786-470-4900
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S MIAMI AVE
Second Line :
City : MIAMI
State : FL
Zip : 33129-1102
Country : US
Telephone Number : 305-854-1555
Fax Number :
Authorized Official
Title or Position : SUPERVISING PHYSICIAN/OWNER
Name : DR. JOSE I ALMEIDA
Credential : MD
Telephone Number : 305-854-1555
Provider Enumeration Date : 10/23/2019
Last Update Date : 10/23/2019

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Directions to “TCMPEO ” Practice Location

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