TLC Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME100711 Issued in FL

Legal business name

TLC MEDICAL LLC

Practice address

5106 N Armenia Ave
Suite 1
Tampa, FL 33603-1433

Phone

(813) 874-1852

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles David Talakkottur, M.D.NPI 1598949034

Title

Owner

Phone

(813) 874-1852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles David Talakkottur, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1598949034
  Medicare reassignment NPD Authorized official
• John William Ashley, APRN

  • Family Nurse Practitioner
  • Lake Wales, FL
  • NPI 1528694882

  Single Specialty

  Medicare reassignment NPD
• Sara Elizabeth Graves

  • Primary Care Nurse Practitioner
  • Tampa, FL
  • NPI 1003425232
  Medicare reassignment NPD
• Laura Marie Talakkottur, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1275787681
  Medicare reassignment NPD
• Mereena Thayil

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1093318453
  Medicare reassignment NPD
• Stephanie Turner, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1801524384
  Medicare reassignment NPD
• Taylor Nesbit, PA-C

  • Medical Physician Assistant
  • Denver, CO
  • NPI 1457969867

  FL

  Medicare reassignment
• Thom Juel Espina Tigley, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1114087723
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1750535811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-874-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-874-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "TALAKKOTTUR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-874-1852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Tita-Bakare
• Emmanuel Nji Tita, PHARM.D.
• Titan Medical of Flordia
• Brynn Alana Titone, APRN
• TLC Florida Eye Laser Center, LLC (TLC Laser Eye Centers Tampa)
• TLC Medical Rehab LLC
• TLC Pediatric Dentistry, Inc.
• TLC Telecare LLC
• TLC Urgent Care PLC (TLC Urgent Care Center)
• TNC Medical Inc

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.