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Total Vitality Medical Group
Non-Pharmacy Dispensing Site in Tampa, Florida
NPI 1154700276

Total Vitality Medical Group is a Non-Pharmacy Dispensing Site based in Clearwater, FL. Total Vitality Medical Group practices in Tampa, FL. The NPI Number for Total Vitality Medical Group is 1154700276 and holds a License No. ME17577 (Florida).

The current practice location address for Total Vitality Medical Group is 4100 W Kennedy Blvd, Tampa, FL and can be reached out via phone at 813-283-1910. You can also correspond with Total Vitality Medical Group through the mailing address at 311 PARK PLACE BLVD, CLEARWATER, FL - 33759-4904 (mailing address contact number: 813-867-7201).

Location: 4100 W Kennedy Blvd, Tampa, FL, 33759-4904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154700276
Provider Name
Total Vitality Medical Group
Credential
Provider Entity Type
Organization
Address
4100 W Kennedy Blvd, Tampa, FL, 33759-4904
Phone Number
813-283-1910
Fax Number
Provider Enumeration Date
05/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4100 W Kennedy Blvd
City
Tampa
State
Florida
Zip
33609-2288
Phone Number
813-283-1910
Fax Number
person
Provider Business Mailing Address Details
Address
311 Park Place Blvd
City
Clearwater
State
Florida
Zip
33759-4904
Phone Number
813-867-7201
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
ME17577 (Florida)
Definition
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.)
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