Organization
LTC-ACO F&M PLLC
Active
Organization
LTC-ACO F&M PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD DEKERAMAYI MD (COO)
(253) 314-6904
Entity
Organization
Contact information
Practice address
6824 19TH ST W # 504, UNIVERSITY PLACE, WA 98466-5528
(253) 777-1423
Mailing address
6824 19TH ST W # 504, UNIVERSITY PLACE, WA 98466-5528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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