Organization
TLC MEDICAL GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY B LEWIS MD (PRESIDENT)
(772) 528-9074
Entity
Organization
Contact information
Practice address
537 NW LAKE WHITNEY PL, UNIT 103-106, PORT SAINT LUCIE, FL 34986-1620
(772) 877-8578
Mailing address
1391 NW SAINT LUCIE WEST BLVD, #216, PORT SAINT LUCIE, FL 34986-2196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
01/11/2021
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