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Organization
T.P.D.S., INC.
Active
Organization
T.P.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA SMITH MS (MEDICAL PROVIDER)
(321) 437-3715
Entity
Organization
Contact information
Practice address
3001 ALOMA AVE, WINTER PARK, FL 32792-3752
(407) 567-7011
(407) 567-7011
Mailing address
7228 CLARCONA OCOEE RD UNIT 124, CLARCONA, FL 32710-2001
(321) 437-3715
(407) 567-7011
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
251S00000X
Community/Behavioral Health Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023701300
—
FL
Enumeration date
01/25/2018
Last updated
02/01/2022
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