TJD Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

739 Issued in FL

Legal business name

TJD MEDICAL INC

Doing business as

Freedom 1 Zephyrhills

Practice address

6421 Gall Blvd
Zephyrhills, FL 33542-2570

Phone

(813) 780-8159

Fax

(813) 779-9185

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Karin Lynn Blum

Title

Office Manager

Phone

(813) 780-8159

Specialties & licenses 1

Addresses

Other names 1

• FREEDOM 1 ZEPHYRHILLS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598712473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346390077",
            "telephone_number": "813-780-8159",
            "fax_number": "813-779-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422570",
            "telephone_number": "813-780-8159",
            "fax_number": "813-779-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-780-8159",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEDOM 1 ZEPHYRHILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalyn Thomas, PSY.D
• Alfred Thompson, LICENSED OPTICIAN
• Michael W Thompson, M.D.
• Mark Arlington Timmel, MD
• Derrick S Tipton, PTA
• Amber Tolon, NP-BC
• Tomas E Delgado M.D., P.a.
• Taylor Diane Tomberlin, RBT
• Amarilis Torres, MD
• Silvia Carolina Torres

• Durable Medical Equipment & Medical Supplies in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.