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Organization

THE INSTITUTE OF VITALITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS ZIMMERMAN (PRESIDENT)
(727) 542-8100
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/12/2016
Last updated
04/12/2016
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