| Tmj Tx Clinic | |
|
8649 Regency Park Blvd Port Richey FL 34668-5742 | |
| (727) 813-0475 | |
| Not Available |
| Full Name | Tmj Tx Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 8649 Regency Park Blvd, Port Richey, Florida |
| Authorized Official Name and Position | Ina Marie Chancey (OWNER) |
| Authorized Official Contact | 7278130475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmj Tx Clinic 8649 Regency Park Blvd Port Richey FL 34668-5742 Ph: (727) 843-4035 | Tmj Tx Clinic 8649 Regency Park Blvd Port Richey FL 34668-5742 Ph: (727) 813-0475 |
| NPI Number | 1144558727 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144558727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | SA 1638 (Florida) | Primary |
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