Organization · Type 2 NPI

Total Vitality Medical Group

Non-Pharmacy Dispensing Site · Tampa, FL

NPI number 1154700276 Active

Practice location

4100 W Kennedy Blvd, Suite 114
Tampa, FL 33609-2288

Call (813) 283-1910 Map

Mailing address

311 Park Place Blvd
Clearwater, FL 33759-4904

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XME17577 (FL)

Non-Pharmacy Dispensing Site: 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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About NPI 1154700276

Total Vitality Medical Group's National Provider Identifier is 1154700276, issued on May 21, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Tampa, FL. The record was last updated on Mar 1, 2023.