Provider Demographics
NPI:1649776022
Name:TOTAL HOLISTIC CENTER LLC
Entity Type:Organization
Organization Name:TOTAL HOLISTIC CENTER LLC
Other - Org Name:TOTAL HOLISTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-443-8486
Mailing Address - Street 1:2200 N DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-8003
Mailing Address - Country:US
Mailing Address - Phone:917-443-8486
Mailing Address - Fax:561-323-4997
Practice Address - Street 1:2200 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-8003
Practice Address - Country:US
Practice Address - Phone:917-443-8486
Practice Address - Fax:561-323-4997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12401261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center