| Total Vitality Medical Group, Llc | |
|
24945 Us Highway 19 N, Clearwater, FL 33763-3927 | |
| (727) 726-1460 | |
| (727) 724-9705 |
| Full Name | Total Vitality Medical Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 24945 Us Highway 19 N, Clearwater, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376583609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vanessa Febles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558592840 PECOS PAC ID: 3173678497 Enrollment ID: I20090909000562 |
| Provider Name | Adam Seth Rosoff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700111697 PECOS PAC ID: 6800923350 Enrollment ID: I20100415000162 |
| Provider Name | Kenneth B Peluso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568536647 PECOS PAC ID: 2062685431 Enrollment ID: I20111031000284 |
| Provider Name | Brian M Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841583812 PECOS PAC ID: 8426225269 Enrollment ID: I20120119000666 |
| Provider Name | Michael B Heldreth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811285539 PECOS PAC ID: 5193983500 Enrollment ID: I20120214000677 |
| Provider Name | Eve B Hodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538529490 PECOS PAC ID: 5890087407 Enrollment ID: I20160629002923 |
| Provider Name | Mary Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760954473 PECOS PAC ID: 2466790498 Enrollment ID: I20190215002468 |
| Provider Name | Sheryl Haynes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669564241 PECOS PAC ID: 9234413733 Enrollment ID: I20200109001215 |
| Provider Name | Bryan Scott Nicholas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205385317 PECOS PAC ID: 9830506427 Enrollment ID: I20210326000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Total Vitality Medical Group, Llc 24945 Us Highway 19 N, Clearwater, FL 33763-3927 Ph: (727) 726-1460 | Total Vitality Medical Group, Llc 24945 Us Highway 19 N, Clearwater, FL 33763-3927 Ph: (727) 726-1460 |