Ega Total Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EGA TOTAL HEALTH LLC

Practice address

1840 W 49TH St Ste 300
Hialeah, FL 33012-2965

Phone

(786) 717-5656

NPI assigned

Aug 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Lemual Cosby, M.D

Title

Medical Director

Phone

(954) 922-1270

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1871969196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122965",
            "telephone_number": "786-717-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122965",
            "telephone_number": "786-717-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGA TOTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEMUAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-922-1270",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.