# TC TOTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598683757
- **Authorized official:** DR. LUIS A MATOS DN 18887 (VP)
- **Authorized official phone:** (772) 618-6487

## Contact information

- **Practice address:** 900 SE OCEAN BLVD STE B115, STUART, FL 34994-2471
- **Practice address phone:** (772) 618-6487
- **Mailing address:** 900 SE OCEAN BLVD STE B115, STUART, FL 34994-2471
- **Mailing address phone:** (772) 618-6487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 125Q00000X | Oral Medicine Dentistry | — | NULL | Yes |
| 125Q00000X | Oral Medicine Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2026
- **Last updated:** 07/07/2026