Provider Demographics
NPI:1407382609
Name:ATLAS TMS, LLC
Entity Type:Organization
Organization Name:ATLAS TMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAWADZKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-249-7400
Mailing Address - Street 1:4600 MILITARY TRAIL
Mailing Address - Street 2:SUITE 103
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:561-249-7400
Mailing Address - Fax:
Practice Address - Street 1:4600 MILITARY TRAIL
Practice Address - Street 2:SUITE 103
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-249-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDWARD ZAWADZKI, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10557305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service