Provider Demographics
NPI:1033835517
Name:TC MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:TC MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-229-6872
Mailing Address - Street 1:777 NW 72ND AVE STE 3145B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3190
Mailing Address - Country:US
Mailing Address - Phone:786-229-6872
Mailing Address - Fax:
Practice Address - Street 1:777 NW 72ND AVE STE 3145B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3190
Practice Address - Country:US
Practice Address - Phone:786-229-6872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies