| Tsf Medical Llc | |
|
2428 Clearlake Rd Bldg K Cocoa FL 32922-5722 | |
| (321) 368-3862 | |
| (321) 208-8717 |
| Full Name | Tsf Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2428 Clearlake Rd Bldg K, Cocoa, Florida |
| Authorized Official Name and Position | Tony S Faris (OWNER) |
| Authorized Official Contact | 3213683862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsf Medical Llc Po Box 560059 Rockledge FL 32956-0059 Ph: (321) 368-3862 | Tsf Medical Llc 2428 Clearlake Rd Bldg K Cocoa FL 32922-5722 Ph: (321) 368-3862 |
| NPI Number | 1932983061 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 2062876584 |
|---|---|
| Medicare Enrollment ID | O20230915001625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932983061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tony Faris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720461932 PECOS PAC ID: 4284983073 Enrollment ID: I20181023001118 |
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