Total Md Care | |
4340 S Hopkins Ave Titusville FL 32780-6689 | |
(321) 222-3607 | |
(888) 849-6158 |
Full Name | Total Md Care |
---|---|
Speciality | Clinic/Center |
Location | 4340 S Hopkins Ave, Titusville, Florida |
Authorized Official Name and Position | Tanmay Patel (PRESIDENT) |
Authorized Official Contact | 5757378269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Total Md Care 5123 Saler Ct Rockledge FL 32955-7000 Ph: (575) 737-8269 | Total Md Care 4340 S Hopkins Ave Titusville FL 32780-6689 Ph: (321) 222-3607 |
NPI Number | 1033732128 |
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Provider Enumeration Date | 05/22/2020 |
Last Update Date | 07/25/2024 |
Certification Date | 07/25/2024 |
Medicare PECOS PAC ID | 5092138743 |
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Medicare Enrollment ID | O20200714000759 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033732128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Tanmay Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649613217 PECOS PAC ID: 5092956144 Enrollment ID: I20130801000225 |
Provider Name | Sonal Rana Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619571643 PECOS PAC ID: 4587077011 Enrollment ID: I20201230001222 |
Provider Name | Gregory John Brunshidle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861060832 PECOS PAC ID: 0446652952 Enrollment ID: I20210707000440 |
Provider Name | Debbie Marie Blitch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013644962 PECOS PAC ID: 7911383781 Enrollment ID: I20220930002023 |
Provider Name | Cheyanne Lee Day |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659150282 PECOS PAC ID: 8628428422 Enrollment ID: I20231220000061 |
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