Provider Demographics
NPI:1386026813
Name:PODEMOS TCM LLC
Entity Type:Organization
Organization Name:PODEMOS TCM LLC
Other - Org Name:PODEMOS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARI-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-413-5842
Mailing Address - Street 1:12741 SW 42ND ST
Mailing Address - Street 2:180
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3429
Mailing Address - Country:US
Mailing Address - Phone:786-413-5842
Mailing Address - Fax:877-865-4067
Practice Address - Street 1:12485 SW 137TH AVE
Practice Address - Street 2:109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4216
Practice Address - Country:US
Practice Address - Phone:786-413-5842
Practice Address - Fax:877-865-4067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-20
Last Update Date:2015-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management