Provider Demographics
NPI:1508595232
Name:MED TCM LLC
Entity Type:Organization
Organization Name:MED TCM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGERET
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRODEL
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:718-986-3079
Mailing Address - Street 1:800 E BROWARD BLVD STE 403
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2033
Mailing Address - Country:US
Mailing Address - Phone:718-986-3079
Mailing Address - Fax:
Practice Address - Street 1:800 E BROWARD BLVD STE 403
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2033
Practice Address - Country:US
Practice Address - Phone:718-986-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty