Total Health Medical Centers, Llc | |
7200 W Commercial Blvd Ste 202 Lauderhill FL 33319-2148 | |
(954) 748-6665 | |
(954) 748-0310 |
Full Name | Total Health Medical Centers, Llc |
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Speciality | Family Medicine |
Location | 7200 W Commercial Blvd Ste 202, Lauderhill, Florida |
Authorized Official Name and Position | Demarquette D Kent (CEO) |
Authorized Official Contact | 5024892222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Health Medical Centers, Llc 9737 Nw 41st St Doral FL 33178-2924 Ph: () - | Total Health Medical Centers, Llc 7200 W Commercial Blvd Ste 202 Lauderhill FL 33319-2148 Ph: (954) 748-6665 |
NPI Number | 1750893319 |
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Provider Enumeration Date | 11/03/2017 |
Last Update Date | 05/21/2020 |
Medicare PECOS PAC ID | 7618216110 |
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Medicare Enrollment ID | O20190227002934 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750893319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Rafael Burgos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346203742 PECOS PAC ID: 1850296559 Enrollment ID: I20031205000064 |
Provider Name | Jorge Gonzalo Diaz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205878261 PECOS PAC ID: 2961394887 Enrollment ID: I20040402000137 |
Provider Name | Marie C Tromans |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518932508 PECOS PAC ID: 2961484027 Enrollment ID: I20040602001301 |
Provider Name | Wayne J Fraser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447352588 PECOS PAC ID: 2163493990 Enrollment ID: I20051010000786 |
Provider Name | Christian R Le Bienvenu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578598215 PECOS PAC ID: 4082716402 Enrollment ID: I20070302000270 |
Provider Name | Sonia Michael |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063467983 PECOS PAC ID: 2365526746 Enrollment ID: I20080223000035 |
Provider Name | Sonia Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780742320 PECOS PAC ID: 6709056641 Enrollment ID: I20110831000618 |
Provider Name | Freud Telemaque |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902395973 PECOS PAC ID: 2062818081 Enrollment ID: I20210831000537 |
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