Provider Demographics
NPI:1497870208
Name:TARPON TOTAL HEALTH CARE INC.
Entity Type:Organization
Organization Name:TARPON TOTAL HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:HUY
Authorized Official - Suffix:
Authorized Official - Credentials:DCDACBN
Authorized Official - Phone:727-934-0844
Mailing Address - Street 1:400 E TARPON AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-4322
Mailing Address - Country:US
Mailing Address - Phone:727-934-0844
Mailing Address - Fax:727-942-2072
Practice Address - Street 1:400 E TARPON AVE.
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-4322
Practice Address - Country:US
Practice Address - Phone:727-934-0844
Practice Address - Fax:727-942-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6446111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380283300Medicaid
FL38401OtherBLUE CROSS BLUE SHIELD
FLK1091Medicare ID - Type Unspecified
FL380283300Medicaid