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Tps Health Services

Nurse Practitioner, Family in The Villages, FL. Organization (NPI-2).

NPI number1982302113
StatusActive
Last updated in NPPESFeb 17, 2023

Details

NPI
1982302113
Entity type
Organization (NPI-2)
Legal business name
Tps Health Services
Organization subpart
No
Enumeration date
Feb 17, 2023
Certification date
Feb 13, 2023
Last updated
Feb 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

3717 Meggison Rd
The Villages, FL 32163-3024

Phone 352-399-5557

Mailing address

24 Little Pine Rd
Mount Kisco, NY 10549-4109

Phone 914-482-1509

Authorized official

Jason Provost
Co-Owner
9144821509

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