Organization
TOTAL HEALTH CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE HAWKINS (APRN)
(954) 907-6719
Entity
Organization
Contact information
Practice address
4161 NW 5TH ST STE 201, PLANTATION, FL 33317-2101
(954) 300-2404
(954) 300-2404
Mailing address
4161 NW 5TH ST STE 201, PLANTATION, FL 33317-2101
(954) 907-6719
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/02/2021
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