Organization
TTLG COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON MCGRATH (MANAGER)
(310) 886-4323
Entity
Organization
Contact information
Practice address
4300 S HIGHWAY 27 STE 105, CLERMONT, FL 34711-8067
(310) 721-3793
Mailing address
4300 S HIGHWAY 27 STE 105, CLERMONT, FL 34711-8067
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
06/10/2019
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