Entity Name: | TOTAL MEDICAL HEALTH SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 03 Dec 1993 (31 years ago) |
Document Number: | P93000082842 |
FEI/EIN Number | 650452738 |
Address: | 1877 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442 |
Mail Address: | 1877 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442 |
ZIP code: | 33442 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1023014354 | 2005-06-22 | 2016-04-20 | 1877 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 334421417, US | 1877 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 334421417, US | |||||||||||||||||||||||||
|
Phone | +1 954-427-6606 |
Fax | 9544279981 |
Authorized person
Name | MR. HOWARD MARC WEINSTEIN |
Role | PRES. |
Phone | 9544276606 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 1279 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLE SHEILD |
Number | R8400 |
State | FL |
Name | Role | Address |
---|---|---|
WEINSTEIN HOWARD | Agent | 1877 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442 |
Name | Role | Address |
---|---|---|
WEINSTEIN HOWARD | President | 1877 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442 |
Name | Role | Address |
---|---|---|
WEINSTEIN MARY | Secretary | 1877 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 1994-08-08 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State