Provider Demographics
NPI: | 1558552646 |
---|---|
Name: | TOTAL CARE HEALTH CENTER INC |
Entity Type: | Organization |
Organization Name: | TOTAL CARE HEALTH CENTER INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | AMARO |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | EXPOSITO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 305-261-1180 |
Mailing Address - Street 1: | 8492 SW 8TH ST |
Mailing Address - Street 2: | |
Mailing Address - City: | MIAMI |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33144-4153 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-261-1180 |
Mailing Address - Fax: | 305-261-1906 |
Practice Address - Street 1: | 8492 SW 8TH ST |
Practice Address - Street 2: | |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33144-4153 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-261-1180 |
Practice Address - Fax: | 305-261-1906 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-08-05 |
Last Update Date: | 2008-04-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | ========= | Other | TAX IDENTIFICATION NUMBER |