Provider Demographics
NPI:1528258696
Name:TOTAL HEALTH COMPLANCE GROUP INC
Entity type:Organization
Organization Name:TOTAL HEALTH COMPLANCE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SONY
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:SANON
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:305-945-5437
Mailing Address - Street 1:152 NE 167TH ST
Mailing Address - Street 2:102
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3400
Mailing Address - Country:US
Mailing Address - Phone:305-945-5437
Mailing Address - Fax:
Practice Address - Street 1:152 NE 167TH ST
Practice Address - Street 2:102
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3400
Practice Address - Country:US
Practice Address - Phone:305-945-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty