Healthcare Provider Details

I. General information

NPI: 1538490693
Provider Name (Legal Business Name): TOTAL HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 S STATE ROAD 7
PLANTATION FL
33317-4525
US

IV. Provider business mailing address

1030 S STATE ROAD 7
PLANTATION FL
33317-4525
US

V. Phone/Fax

Practice location:
  • Phone: 954-581-3333
  • Fax:
Mailing address:
  • Phone: 954-581-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7709
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME82765
License Number StateFL

VIII. Authorized Official

Name: DR. RICHARD POMELLA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 954-581-3333