| Organization Name: | TOTAL HEALTH & INJURY CENTER LLC |
| NPI Number: | 1154648616 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE KELLER (OWNER) |
| Mailing Address: | 5700 Lake Worth Rd Suite 111 Greenacres |
| State: | FL US |
| Postal Code: | 334634727 |
| Phone Number: | 5617290502 |
| Fax Number: | 5617290589 |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 06/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |