MEDICARE: TOTAL HEALTH OF WESLEY CHAPEL INC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1649441270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH OF WESLEY CHAPEL INC

Provider Business Mailing Address
First Line	:	20433 BRUCE B DOWNS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2759
Country	:	US
Telephone Number	:	813-994-0151
Fax Number	:	813-994-6421

Provider Business Practice Location Address
First Line	:	20433 BRUCE B DOWNS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2759
Country	:	US
Telephone Number	:	813-994-0151
Fax Number	:	813-994-6421

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	DR. THOMAS ARTHUR LADANYI
Credential	:
Telephone Number	:	813-994-0151

Provider Enumeration Date	:	03/24/2008
Last Update Date	:	10/19/2012

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