Healthcare Provider Details

I. General information

NPI: 1528258696
Provider Name (Legal Business Name): TOTAL HEALTH COMPLANCE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 NE 167TH ST 102
N MIAMI BEACH FL
33162-3400
US

IV. Provider business mailing address

152 NE 167TH ST 102
N MIAMI BEACH FL
33162-3400
US

V. Phone/Fax

Practice location:
  • Phone: 305-945-5437
  • Fax:
Mailing address:
  • Phone: 305-945-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SONY GARY SANON
Title or Position: PRESIDENT
Credential: P.A
Phone: 305-945-5437