# THE INSTITUTE OF VITALITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891159208
- **Authorized official:** DOUGLAS ZIMMERMAN (PRESIDENT)
- **Authorized official phone:** (727) 542-8100

## Contact information

- **Practice address:** 512 S DALE MABRY HWY, TAMPA, FL 33609-3906
- **Practice address phone:** (813) 203-2052
- **Mailing address:** 701 S HOWARD AVE, 106-137, TAMPA, FL 33606-2473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2016
- **Last updated:** 04/12/2016