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NPI Code Detail

MEDICARE: TOTAL CARE MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

MEDICARE: TOTAL CARE MEDICAL & DENTAL SUPPLIES AND EQUIPMENT
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1770033813
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL CARE MEDICAL & DENTAL SUPPLIES AND EQUIPMENT
Provider Business Mailing Address
First Line : 3127 NE 40TH CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-6413
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3127 NE 40TH CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-6413
Country : US
Telephone Number : 954-805-2321
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DELONE GARCIA
Credential :
Telephone Number : 954-805-2321
Provider Enumeration Date : 10/13/2016
Last Update Date : 10/13/2016

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Directions to “TOTAL CARE MEDICAL & DENTAL SUPPLIES AND EQUIPMENT ” Practice Location

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