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TOTAL VITALITY MEDICAL GROUP LLC NPI 1376583609


NPI Information

NPI: 1376583609
Provider Name: TOTAL VITALITY MEDICAL GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
24945 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33763
Phone: (727) 726-1460
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TOTAL VITALITY MEDICAL GROUP, LLC is a family medicine in Clearwater, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TOTAL VITALITY MEDICAL GROUP, LLC NPI is 1376583609. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24945 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33763-927
Phone: (727) 726-1460
Fax: (727) 724-9705

The provider's authorized official is Brian G Wolstein .
The authorized official title is Dc Owner and has the following contact phone number (727) 726-1460.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 1/29/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K6641MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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