Healthcare Provider Details

I. General information

NPI: 1912718982
Provider Name (Legal Business Name): TOTALWELL HEALTH CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 TUSKAWILLA RD STE 221
WINTER SPRINGS FL
32708-5289
US

IV. Provider business mailing address

1425 TUSKAWILLA RD STE 221
WINTER SPRINGS FL
32708-5289
US

V. Phone/Fax

Practice location:
  • Phone: 910-257-9947
  • Fax:
Mailing address:
  • Phone: 407-775-5315
  • Fax: 855-576-5105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH PATRICK JOHNSON
Title or Position: PHYSICIAN/ CO-OWNER
Credential: MD
Phone: 910-257-9947