Organization
TOTAL CARE MEDICINE, L.L.C.
Active
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
Update your record
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