Organization
TOTAL MEDICAL AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD TANZA (CEO)
(904) 654-2410
Entity
Organization
Contact information
Practice address
550 E MAIN ST STE 100, RIVERHEAD, NY 11901-2672
(631) 317-1010
Mailing address
665 TREEHOUSE CIR, SAINT AUGUSTINE, FL 32095-6837
(904) 654-2410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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