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Organization

TOTAL CARE MEDICINE, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CORY W. LUCAS NP (CEO)
(703) 677-1035
Entity
Organization

Contact information

Practice address
11161 STATE ROAD 70 E UNIT 110-848, LAKEWOOD RANCH, FL 34202-9407
(703) 677-1035
Mailing address
11161 STATE ROAD 70 E UNIT 110-848, LAKEWOOD RANCH, FL 34202-9407
(703) 677-1035

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225299035
MS
05
1790226942
VA
Enumeration date
12/17/2021
Last updated
12/17/2021
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