Organization Active NPI

Total Vitality Medical Group LLC

  • Health Service Clinic/Center
  • Clearwater, FL
National Provider Identifier
1487086914
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TOTAL VITALITY MEDICAL GROUP LLC
Practice address
24945 US Highway 19 N
Clearwater, FL 33763-3927
Phone
(727) 726-1460
Fax
(727) 724-9705
NPI assigned
Aug 7, 2013
Organization subpart
Yes
Parent organization
SUNCOAST TOTAL HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Botbyl
Title
Certified Practice Manager
Phone
(727) 726-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

24945 US Highway 19 N
Clearwater, FL 33763-3927

Mailing address

24945 US Highway 19 N
Clearwater, FL 33763-3927
Phone (727) 726-1460

National Provider Directory

National Provider Directory
Part of
Team Mua

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1487086914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24945 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337633927",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24945 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337633927",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VITALITY MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNCOAST TOTAL HEALTHCARE LLC",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "BOTBYL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CERTIFIED PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-726-1460"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.