Provider Demographics
NPI:1235327412
Name:TOTAL FAMILY CARE LLC
Entity type:Organization
Organization Name:TOTAL FAMILY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:M
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-277-1900
Mailing Address - Street 1:10743 NARCOOSSEE ROAD
Mailing Address - Street 2:SUITE A-18
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832
Mailing Address - Country:US
Mailing Address - Phone:407-277-1900
Mailing Address - Fax:407-277-1888
Practice Address - Street 1:10743 NARCOOSSEE ROAD
Practice Address - Street 2:SUITE A-18
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832
Practice Address - Country:US
Practice Address - Phone:407-277-1900
Practice Address - Fax:407-277-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2024-05-10
Deactivation Date:2024-03-26
Deactivation Code:
Reactivation Date:2024-05-10
Provider Licenses
StateLicense IDTaxonomies
FL261QP2300X
261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care