| Total Md Care Corp | |
|
4340 S Hopkins Ave Titusville FL 32780-6689 | |
| (321) 222-3607 | |
| (888) 849-6158 |
| Full Name | Total Md Care Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 4340 S Hopkins Ave, Titusville, Florida |
| Authorized Official Name and Position | Tanmay Patel (PRESIDENT) |
| Authorized Official Contact | 5757378269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Md Care Corp 5123 Saler Ct Rockledge FL 32955-7000 Ph: (575) 737-8269 | Total Md Care Corp 4340 S Hopkins Ave Titusville FL 32780-6689 Ph: (321) 222-3607 |
| NPI Number | 1033732128 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 5092138743 |
|---|---|
| Medicare Enrollment ID | O20200714000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033732128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tanmay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649613217 PECOS PAC ID: 5092956144 Enrollment ID: I20130801000225 |
| Provider Name | Sonal Rana Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619571643 PECOS PAC ID: 4587077011 Enrollment ID: I20201230001222 |
| Provider Name | Gregory John Brunshidle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861060832 PECOS PAC ID: 0446652952 Enrollment ID: I20210707000440 |
| Provider Name | Debbie Blitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013644962 PECOS PAC ID: 7911383781 Enrollment ID: I20220930002023 |
| Provider Name | Cheyanne Lee Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659150282 PECOS PAC ID: 8628428422 Enrollment ID: I20231220000061 |
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