| Organization Name: | TOTAL HEALTH NETWORK LLC |
| NPI Number: | 1669785671 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CANDACE KONEY (MEDICAL DIRECTOR) |
| Mailing Address: | 8403 Balm St Weeki Wachee |
| State: | FL US |
| Postal Code: | 34607 |
| Phone Number: | 3525967887 |
| Fax Number: | 3525967886 |
| NPI Enumeration Date: | 07/19/2010 |
| NPI Last Update Date: | 07/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | ME90158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |