Organization
TC PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDDHARTHA PAGIDIPATI (OWNER)
(772) 204-8889
Entity
Organization
Contact information
Practice address
1100 SW SAINT LUCIE WEST BLVD STE 209, PORT ST LUCIE, FL 34986-1735
(772) 204-8889
(772) 204-8895
Mailing address
1202 MARINER BLVD, SPRING HILL, FL 34609-5603
(352) 277-5305
(352) 616-0926
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/20/2020
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