Provider Demographics
NPI:1275963316
Name:TOTAL HEALTHCARE FOR YOU
Entity Type:Organization
Organization Name:TOTAL HEALTHCARE FOR YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINBOTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-932-1410
Mailing Address - Street 1:7827 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3288
Mailing Address - Country:US
Mailing Address - Phone:813-932-1410
Mailing Address - Fax:813-932-1036
Practice Address - Street 1:7827 N DALE MABRY HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3288
Practice Address - Country:US
Practice Address - Phone:813-932-1410
Practice Address - Fax:813-932-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA1827261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy