Provider Demographics
NPI:1689624801
Name:TOTAL HEALTH CARE PHYSICIANS
Entity Type:Organization
Organization Name:TOTAL HEALTH CARE PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:POMELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-537-2004
Mailing Address - Street 1:2509 N ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33311-2507
Mailing Address - Country:US
Mailing Address - Phone:954-537-2004
Mailing Address - Fax:954-616-0106
Practice Address - Street 1:2509 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-2507
Practice Address - Country:US
Practice Address - Phone:954-537-2004
Practice Address - Fax:954-616-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7709111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00055852Medicare ID - Type Unspecified
FLU78053Medicare UPIN