Organization
TOTAL VITALITY MEDICAL GROUP LLC
Active
Organization
TOTAL VITALITY MEDICAL GROUP LLC
Active
Parent organization
SUNCOAST TOTAL HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNCOAST TOTAL HEALTHCARE LLC
Authorized official
CAROL BOTBYL (CERTIFIED PRACTICE MANAGER)
(727) 726-1460
Entity
Organization
Contact information
Practice address
24945 US HIGHWAY 19 N, CLEARWATER, FL 33763-3927
(727) 726-1460
(727) 724-9705
Mailing address
24945 US HIGHWAY 19 N, CLEARWATER, FL 33763-3927
(727) 726-1460
(727) 724-9705
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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