Provider Demographics
NPI:1487009023
Name:TCM OF FLORIDA INC
Entity Type:Organization
Organization Name:TCM OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:407-466-6327
Mailing Address - Street 1:350 N WASHINGTON AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-5806
Mailing Address - Country:US
Mailing Address - Phone:321-222-0172
Mailing Address - Fax:888-859-2513
Practice Address - Street 1:350 N WASHINGTON AVE
Practice Address - Street 2:SUITE K
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-5806
Practice Address - Country:US
Practice Address - Phone:321-222-0172
Practice Address - Fax:888-859-2513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management