TOTAL VITALITY MEDICAL GROUP NPI 1154700276

NPI Information

TOTAL VITALITY MEDICAL GROUP is a non pharmacy dispensing site in Tampa, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) TOTAL VITALITY MEDICAL GROUP NPI is 1154700276. The provider is registered as an organization entity type.

The provider's business location address is:

4100 W KENNEDY BLVD
SUITE 114
TAMPA, FL
ZIP 33609-288
Phone: (813) 283-1910

The provider's authorized official is David Wolstein .
The authorized official title is Dispensing Practitoner and has the following contact phone number (813) 283-1910.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 3/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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