Healthcare Provider Details

I. General information

NPI: 1033802525
Provider Name (Legal Business Name): TOTAL CARE HEALTH SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4424 NW 13TH ST UNIT C-10
GAINESVILLE FL
32609-1883
US

IV. Provider business mailing address

4424 NW 13TH ST UNIT C-10
GAINESVILLE FL
32609-1883
US

V. Phone/Fax

Practice location:
  • Phone: 855-598-3876
  • Fax:
Mailing address:
  • Phone: 855-598-3876
  • Fax: 813-776-5324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TAKERIA BRUCE
Title or Position: CEO
Credential:
Phone: 786-538-4433