Organization
MTM HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYESHIA AUSBY (CEO)
(772) 643-2604
Entity
Organization
Contact information
Practice address
1610 17TH CT SW, VERO BEACH, FL 32962-6215
(772) 643-2604
Mailing address
1610 17TH CT SW, VERO BEACH, FL 32962-6215
(772) 643-2604
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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