| Tcm Of Fl | |
|
14875 Nw 77th Ave Ste 204 Miami Lakes FL 33014-2568 | |
| (786) 302-3162 | |
| (855) 836-9535 |
| Full Name | Tcm Of Fl |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14875 Nw 77th Ave Ste 204, Miami Lakes, Florida |
| Authorized Official Name and Position | Noel Fiallo (OWNER) |
| Authorized Official Contact | 3059892907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcm Of Fl 14875 Nw 77th Ave Ste 204 Miami Lakes FL 33014-2568 Ph: (786) 302-3162 | Tcm Of Fl 14875 Nw 77th Ave Ste 204 Miami Lakes FL 33014-2568 Ph: (786) 302-3162 |
| NPI Number | 1891295515 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Medicare PECOS PAC ID | 2769807338 |
|---|---|
| Medicare Enrollment ID | O20200730001796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891295515 | NPI | - | NPPES |
| Provider Name | Pierre E Pean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710013990 PECOS PAC ID: 9931367596 Enrollment ID: I20120228000693 |
| Provider Name | Beatriz Oliveras Fria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205428224 PECOS PAC ID: 2365806734 Enrollment ID: I20230919000821 |
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