| Inspire Medical Clinic Llc | |
|
9804 North 56th St. Tampa FL 33617 | |
| (813) 985-5513 | |
| Not Available |
| Full Name | Inspire Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9804 North 56th St., Tampa, Florida |
| Authorized Official Name and Position | Thom Juel E. Tigley (CEO) |
| Authorized Official Contact | 8136763636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Medical Clinic Llc 10006 Cross Creek Blvd #443 Tampa FL 33647-2595 Ph: (813) 676-3636 | Inspire Medical Clinic Llc 9804 North 56th St. Tampa FL 33617 Ph: (813) 985-5513 |
| NPI Number | 1174895411 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Medicare PECOS PAC ID | 9638330269 |
|---|---|
| Medicare Enrollment ID | O20120409000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174895411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Thom Tigley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114087723 PECOS PAC ID: 8527135607 Enrollment ID: I20080916000513 |
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