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1861788036
TJ MEDICAL LLC
FORT PIERCE, FL
NPI
1861788036
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Entity Type
Organization
Authorized Contact
PETER BLAKE
Owner
772-467-9083
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2011-06-25
Last Update Date
2011-06-25
Business Address
TJ MEDICAL LLC
1905 S 25TH ST SUITE 100
FORT PIERCE, FL 34947-4739
Phone number: 772-467-9083
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Mailing Address
TJ MEDICAL LLC
1905 S 25TH ST SUITE 100
FORT PIERCE, FL 34947-4739
Phone number: 772-467-9083
Copy
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