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Organization
TLC MEDICAL LLC
Active
Organization
TLC MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DAVID TALAKKOTTUR M.D. (OWNER)
(813) 874-1852
Entity
Organization
Contact information
Practice address
5106 N ARMENIA AVE, SUITE 1, TAMPA, FL 33603-1433
(813) 874-1852
Mailing address
5106 N ARMENIA AVE, SUITE 1, TAMPA, FL 33603-1433
(813) 874-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME100711
FL
Other
Enumeration date
11/14/2008
Last updated
01/09/2012
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