Provider Demographics
NPI:1316223423
Name:VICTOR TOTFALUSI, DO, PA
Entity type:Organization
Organization Name:VICTOR TOTFALUSI, DO, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTFALUSI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-990-0595
Mailing Address - Street 1:3107 STIRLING RD
Mailing Address - Street 2:SUITE103
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6565
Mailing Address - Country:US
Mailing Address - Phone:954-990-0595
Mailing Address - Fax:
Practice Address - Street 1:3107 STIRLING RD
Practice Address - Street 2:SUITE103
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6565
Practice Address - Country:US
Practice Address - Phone:954-990-0595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10987207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty