Organization Active NPI

TTLG Company LLC

  • Clinic/Center
  • Clermont, FL
National Provider Identifier
1770050528
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TTLG COMPANY LLC
Practice address
4300 S Highway 27 Ste 105
Clermont, FL 34711-8067
Phone
(310) 721-3793
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Madison McGrath
Title
Manager
Phone
(310) 886-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4300 S Highway 27 Ste 105
Clermont, FL 34711-8067

Mailing address

4300 S Highway 27 Ste 105
Clermont, FL 34711-8067

National Provider Directory

National Provider Directory

Locations

4300 S Highway 27
Ste 105
Clermont, FL 34711
Phone (310) 721-3793

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1770050528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S HIGHWAY 27 STE 105",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S HIGHWAY 27 STE 105",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118067",
            "telephone_number": "310-721-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTLG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-886-4323"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.