MEDICARE: TOTAL MD CARE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1033732128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL MD CARE CORP

Provider Business Mailing Address
First Line	:	5123 SALER CT
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-7000
Country	:	US
Telephone Number	:	575-737-8269
Fax Number	:

Provider Business Practice Location Address
First Line	:	4340 S HOPKINS AVE
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-6689
Country	:	US
Telephone Number	:	321-222-3607
Fax Number	:	888-849-6158

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TANMAY PATEL
Credential	:	MD
Telephone Number	:	575-737-8269

Provider Enumeration Date	:	05/22/2020
Last Update Date	:	07/22/2025

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Directions to “TOTAL MD CARE CORP ” Practice Location

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