Provider Demographics
NPI:1356700306
Name:TOTAL HARMONY MEDICINE
Entity type:Organization
Organization Name:TOTAL HARMONY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-867-6610
Mailing Address - Street 1:11557 AMIDSHIP LN
Mailing Address - Street 2:SUITE #7307
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5571
Mailing Address - Country:US
Mailing Address - Phone:954-867-6610
Mailing Address - Fax:407-302-9899
Practice Address - Street 1:11557 AMIDSHIP LN
Practice Address - Street 2:SUITE #7307
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-5571
Practice Address - Country:US
Practice Address - Phone:954-867-6610
Practice Address - Fax:407-302-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3091171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty