DYNAMIC TOTAL HEALTH, L.L.C (NPI# 1346512837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346512837 |
| Entity Type | Organization |
| Organization Name | DYNAMIC TOTAL HEALTH, L.L.C |
| Practice Address |
3444 E Lake Rd Suite 412 Palm Harbor FL 34685-2407 |
| Mailing Address |
29901 Us Highway 19 N Clearwater FL 33761-1041 |
| Practice Telephone | 7272866203 |
| Practice Fax Number | 7272866204 |
| Mailing Telephone | 7272866203 |
| Mailing Fax Number | 7272866204 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | ERIC EDGERTON (OWNER) |
| Authorized Official Telephone | 7272866203 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS5939 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME36242 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME79221 | FL | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | ARNP9266947 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | ARNP3356552 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 111N00000X | Chiropractor | FL | Chiropractic Providers | |
| Y | 111N00000X | Chiropractor | CH10333 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 220HD | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348387 | Dynamic Total Health, L.l.c | Chiropractor | 29750 Us Highway 19 N Ste 101, Clearwater, FL 33761-1510 | 2019-10-18 |
| Street Address |
3444 E LAKE RD SUITE 412 |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34685-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699114280 | Professional Franchising, Inc | Clinic/Center | 3444 E Lake Rd, Suite 412, Palm Harbor, FL 34685-2407 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663376 | Laura Ashley Birch Williams | Physical Therapy Assistant | 4168 Woodlands Pkwy # A, Palm Harbor, FL 34685 | 2020-09-08 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1093277162 | Raza Zaidi | Student in an Organized Health Care Education/Training Program | 3818 Ambassador Dr, Palm Harbor, FL 34685 | 2019-04-05 |
| 1366965063 | Crestar Labs Fl LLC | Clinical Medical Laboratory | 4714 Ayron Terrace, Palm Harbor, FL 34685 | 2017-07-25 |
| 1497284038 | Jacquelle Davis | Social Worker | 1261 Bay Harbor Dr Apt 201, Palm Harbor, FL 34685 | 2017-06-07 |
| 1649693888 | Marliss Rae Jones | Social Worker | 1107 Mainsail Circle, Palm Harbor, FL 34685 | 2014-01-23 |
| 1427489152 | Best At Home Care LLC | In Home Supportive Care | 1801 East Lake Rd, #3a, Palm Harbor, FL 34685 | 2013-12-05 |
| 1457622292 | Dennis Hamilton | Pharmacist | 3420 East Lake Rd, Palm Harbor, FL 34685 | 2012-01-25 |
| 1275770448 | Amy Beach Harcourt | Physical Therapist | 3488 East Lake Rd, Suite 302, Palm Harbor, FL 34685 | 2009-01-09 |
| 1225223589 | Carolyn Kim Puckett | Physical Therapist | 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 | 2007-09-10 |
| Find all providers in zip 34685 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343303 | Cameron Andre Gholampour | Chiropractor | 4416 Bardsdale Dr, Palm Harbor, FL 34685-2600 | 2020-03-31 |
| 1629622808 | Bradford J Myers | Chiropractor | 800 Tarpon Woods Blvd Ste F5, Palm Harbor, FL 34685-2000 | 2019-07-26 |
| 1770148868 | Anthoula Vandoros | Chiropractor | 2661 E Lake Rd, Palm Harbor, FL 34685-2034 | 2019-05-05 |
| 1265891592 | Timothy Perenich | Chiropractor | 35008 Us Highway 19 N, Palm Harbor, FL 34684-1925 | 2016-02-15 |
| 1033500426 | Goodman Family and Sports Chiropractic | Chiropractor | 36402 Us Highway 19 N, Palm Harbor, FL 34684-1330 | 2015-02-07 |
| 1861883258 | Ryan Paul Goodman | Chiropractor | 34602 Us Highway 19 N, Palm Harbor, FL 34684-2147 | 2015-02-06 |
| 1184977464 | Seiler Chiropractic Clinic Pa | Chiropractor | 30651 Us 19 N, Palm Harbor, FL 34684-4410 | 2012-10-24 |
| 1730448077 | Katie Lynn Malley | Chiropractor | 2480 Cypress Pond Rd, Apt 412, Palm Harbor, FL 34683-1537 | 2012-05-07 |
| 1356628572 | Mark Z Lipkin, Dc | Chiropractor | 3211 Tampa Rd, Palm Harbor, FL 34684-3424 | 2011-11-16 |
| 1598092025 | Dr. Richard Tantillo Family Chiropractic Center Inc | Chiropractor | 2919 Alternate 19, Palm Harbor, FL 34683 | 2009-11-04 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34685 |
Please comment or provide details below to improve the information on DYNAMIC TOTAL HEALTH, L.L.C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.