Healthcare Provider Details

I. General information

NPI: 1821903527
Provider Name (Legal Business Name): TOTAL CARE & WELLNESS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 NE 199TH ST STE 105
MIAMI FL
33179-2927
US

IV. Provider business mailing address

190 NE 199TH ST STE 105
MIAMI FL
33179-2927
US

V. Phone/Fax

Practice location:
  • Phone: 305-760-2284
  • Fax: 305-974-5051
Mailing address:
  • Phone: 305-760-2284
  • Fax: 305-974-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GOULET
Title or Position: OWNER
Credential:
Phone: 305-760-2284