Organization
TOTAL VITALITY MEDICAL GROUP
Active
Organization
TOTAL VITALITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WOLSTEIN M.D (DISPENSING PRACTITONER)
(813) 283-1910
Entity
Organization
Contact information
Practice address
4100 W KENNEDY BLVD, SUITE 114, TAMPA, FL 33609-2288
(813) 283-1910
Mailing address
311 PARK PLACE BLVD, CLEARWATER, FL 33759-4904
(813) 867-7201
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME17577
FL
Other
Enumeration date
05/21/2015
Last updated
03/01/2023
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