TLC Medical Group,Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

TLC MEDICAL GROUP,INC.

Practice address

537 NW Lake Whitney PL
Unit 103-106
Port Saint Lucie, FL 34986-1620

Phone

(772) 877-8578

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Anthony B Lewis, MDNPI 1396776522

Title

President

Phone

(772) 528-9074

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Anthony B Lewis, M.D.

  • Cardiovascular Disease Physician
  • Port Saint Lucie, FL
  • NPI 1396776522
  Medicare reassignment Authorized official
• Joseph Marini, PA-C

  • Medical Physician Assistant
  • Port Saint Lucie, FL
  • NPI 1215446380
  Medicare reassignment
• Loudie Valme, NP

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1992443931
  Medicare reassignment

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1972048536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 NW SAINT LUCIE WEST BLVD",
            "address_2": "#216",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 NW LAKE WHITNEY PL",
            "address_2": "UNIT 103-106",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861620",
            "telephone_number": "772-877-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-528-9074",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Stephen Thorne
• Susan May Thyme, ARNP
• Michael Anthony Tigeleiro, PA-C
• Mikaela Tills
• Josefina Tinajero
• TMC Health Care Holdings LLC
• Debra Tomaselli
• Dainelys M Torres
• Maria C Torres
• Migdalia Torres

• Cardiovascular Disease Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.