Provider Demographics
NPI:1235335423
Name:TOTAL CHOICE MEDICAL AND REHAB CENTER INC
Entity Type:Organization
Organization Name:TOTAL CHOICE MEDICAL AND REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUADAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-827-4861
Mailing Address - Street 1:2189 W 60TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2692
Mailing Address - Country:US
Mailing Address - Phone:305-827-4861
Mailing Address - Fax:305-827-4821
Practice Address - Street 1:2189 W 60TH ST STE 204
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2692
Practice Address - Country:US
Practice Address - Phone:305-827-4861
Practice Address - Fax:305-827-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7530208D00000X
FL616039-4261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty