Provider Demographics
NPI:1760868699
Name:DTMS CENTER LLC
Entity Type:Organization
Organization Name:DTMS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TENDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-749-9999
Mailing Address - Street 1:1601 FORUM PL STE 1005
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-8105
Mailing Address - Country:US
Mailing Address - Phone:561-749-9999
Mailing Address - Fax:833-794-1817
Practice Address - Street 1:1601 FORUM PL STE 1005
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-8105
Practice Address - Country:US
Practice Address - Phone:561-749-9999
Practice Address - Fax:833-794-1817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty