Provider Demographics
NPI:1619972130
Name:TOTAL EMEDICAL INC
Entity Type:Organization
Organization Name:TOTAL EMEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-750-5252
Mailing Address - Street 1:500 FAIRWAY DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1814
Mailing Address - Country:US
Mailing Address - Phone:877-750-5252
Mailing Address - Fax:561-206-0654
Practice Address - Street 1:500 FAIRWAY DR
Practice Address - Street 2:SUITE 208
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1814
Practice Address - Country:US
Practice Address - Phone:877-750-5252
Practice Address - Fax:561-206-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6080132267834332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200888890AMedicaid
WA9061003Medicaid
MD0149462-00Medicaid
MI874939998Medicaid
NY02769813Medicaid
FL031251700Medicaid
PA102226153 0001Medicaid
GA718343191AMedicaid
AR159519741Medicaid
AL009934906Medicaid
NE10025672800Medicaid
LA1019712Medicaid
AZ371389Medicaid
OH2630755Medicaid
ME43283500Medicaid
NM55057861Medicaid
NE10025672800Medicaid
MI874939998Medicaid