| Total Care Medicine, L.l.c. | |
|
11161 State Road 70 E Unit 110-848 Lakewood Ranch FL 34202-9407 | |
| (703) 677-1035 | |
| Not Available |
| Full Name | Total Care Medicine, L.l.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11161 State Road 70 E Unit 110-848, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Cory W. Lucas (CEO) |
| Authorized Official Contact | 7036771035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Care Medicine, L.l.c. 11161 State Road 70 E Unit 110-848 Lakewood Ranch FL 34202-9407 Ph: (703) 677-1035 | Total Care Medicine, L.l.c. 11161 State Road 70 E Unit 110-848 Lakewood Ranch FL 34202-9407 Ph: (703) 677-1035 |
| NPI Number | 1164181145 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164181145 | NPI | - | NPPES |
| 1225299035 | Medicaid | MS | |
| 1790226942 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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Dr. Salvatore Didomenico Dcpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7466 Edenmore Street, Lakewood Ranch, FL 34202 Phone: 727-365-4506 | |
Constance B Purser Md Pl Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8936 77th Ter E, Ste 102, Lakewood Ranch, FL 34202 Phone: 941-361-1177 Fax: 941-361-2422 |