| Town Center Medical | |
|
610 Sycamore St Suite 130 Celebration FL 34747-4995 | |
| (386) 788-6616 | |
| Not Available |
| Full Name | Town Center Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Sycamore St, Celebration, Florida |
| Authorized Official Name and Position | Chad Black (OWNER/PARTNER) |
| Authorized Official Contact | 3867886616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Center Medical 610 Sycamore St Suite 130 Celebration FL 34747-4995 Ph: (386) 788-6616 | Town Center Medical 610 Sycamore St Suite 130 Celebration FL 34747-4995 Ph: (386) 788-6616 |
| NPI Number | 1790047934 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790047934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | ME100993 (Florida) | Secondary |
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