Organization
TOTAL CARE MEDICAL, INC.
Active
Other names
Total Homecare Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY M VICKERS JR. (PRESIDENT)
(850) 219-0202
Entity
Organization
Contact information
Practice address
2565 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4423
(850) 219-0202
(850) 219-0282
Mailing address
PO BOX 14126, TALLAHASSEE, FL 32317-4126
(850) 219-0202
(850) 219-0282
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
PH18325
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH18325
FL
3336C0004X
Compounding Pharmacy
PH18325
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH18325
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026677900
—
FL
05
—
026677901
—
FL
01
—
1094844
PHARMACY NCPDP
FL
01
—
P8236
BCBS
FL
Enumeration date
12/06/2006
Last updated
06/15/2010
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