Active NPI
Total Medical LLC.
- Specialist
- Tamarac, FL
National Provider Identifier
1023068251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TOTAL MEDICAL LLC.
- Practice address
- 5409 N. State Road 7
Tamarac, FL 33319 - Phone
- (954) 733-3339
- Fax
- (954) 730-9181
- NPI assigned
- May 10, 2006
- Last updated
- Oct 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Winston O Hernandez
- Title
- Owner
- Phone
- (954) 436-0555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Specialist | 174400000X | FL | Primary |
Addresses
Primary practice location
5409 N. State Road 7
Tamarac, FL 33319
Mailing address
12177 Pembroke Road
Pembroke Pines, FL 33025
Phone (954) 436-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC3975 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1023068251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12177 PEMBROKE ROAD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33025",
"telephone_number": "954-436-0555",
"fax_number": "954-436-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 N. STATE ROAD 7",
"city": "TAMARAC",
"state": "FL",
"postal_code": "33319",
"telephone_number": "954-733-3339",
"fax_number": "954-730-9181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL MEDICAL LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "WINSTON",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-436-0555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "HCC3975",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.