| Total Life Health Center Lllp | |
|
215 Orange St Ste 3 Auburndale FL 33823-3447 | |
| (863) 812-4334 | |
| (863) 662-3232 |
| Full Name | Total Life Health Center Lllp |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Orange St Ste 3, Auburndale, Florida |
| Authorized Official Name and Position | Darling St Jean (PRACTICE DIRECTOR) |
| Authorized Official Contact | 8638124334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Health Center Lllp 215 Orange St Ste 3 Auburndale FL 33823-3447 Ph: (863) 812-4334 | Total Life Health Center Lllp 215 Orange St Ste 3 Auburndale FL 33823-3447 Ph: (863) 812-4334 |
| NPI Number | 1184209991 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 8921453127 |
|---|---|
| Medicare Enrollment ID | O20231008000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184209991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Byron R Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104851559 PECOS PAC ID: 1658396494 Enrollment ID: I20051011000176 |
| Provider Name | Connie Alkoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676291 PECOS PAC ID: 7315299518 Enrollment ID: I20181017001026 |
| Provider Name | Kimberly J Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689919466 PECOS PAC ID: 3274982517 Enrollment ID: I20231212000824 |
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