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Organization
TOTAL MEDICAL LLC.
Active
Organization
TOTAL MEDICAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WINSTON O HERNANDEZ (OWNER)
(954) 436-0555
Entity
Organization
Contact information
Practice address
5409 N. STATE ROAD 7, TAMARAC, FL 33319
(954) 733-3339
(954) 730-9181
Mailing address
12177 PEMBROKE ROAD, PEMBROKE PINES, FL 33025
(954) 436-0555
(954) 436-0108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC3975
AHCA
FL
Enumeration date
05/10/2006
Last updated
10/02/2013
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