Provider Demographics
NPI:1144013061
Name:SOUTH FLORIDA TCM INCORPORATED
Entity type:Organization
Organization Name:SOUTH FLORIDA TCM INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUAYU
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-668-0502
Mailing Address - Street 1:111 N POMPANO BEACH BLVD APT 1410
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5708
Mailing Address - Country:US
Mailing Address - Phone:954-668-0502
Mailing Address - Fax:
Practice Address - Street 1:111 N POMPANO BEACH BLVD APT 1410
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5708
Practice Address - Country:US
Practice Address - Phone:954-668-0502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center