Provider Demographics
NPI:1508161332
Name:TOTAL HEALTH AND REHAB CENTER OF SOUTH FLORIDA, INC.
Entity Type:Organization
Organization Name:TOTAL HEALTH AND REHAB CENTER OF SOUTH FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-482-7575
Mailing Address - Street 1:8903 GLADES RD
Mailing Address - Street 2:SUITE A-11
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4074
Mailing Address - Country:US
Mailing Address - Phone:561-482-7575
Mailing Address - Fax:561-482-7724
Practice Address - Street 1:8903 GLADES RD
Practice Address - Street 2:SUITE A-11
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4074
Practice Address - Country:US
Practice Address - Phone:561-482-7575
Practice Address - Fax:561-482-7724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty