Healthcare Provider Details

I. General information

NPI: 1437289477
Provider Name (Legal Business Name): TOTAL HEALTHCARE OF SOUTH FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 N UNIVERSITY DR
PEMBROKE PINES FL
33024-3611
US

IV. Provider business mailing address

2209 N UNIVERSITY DR
PEMBROKE PINES FL
33024-3611
US

V. Phone/Fax

Practice location:
  • Phone: 954-966-5700
  • Fax: 954-987-3728
Mailing address:
  • Phone: 954-966-5700
  • Fax: 954-987-3728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME61852
License Number StateFL

VIII. Authorized Official

Name: MRS. GABRIELA ROSENTHAL
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-966-5700