TOTAL VITALITY MEDICAL OF FLORIDA, LLC (NPI# 1992263164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992263164 |
| Entity Type | Organization |
| Organization Name | TOTAL VITALITY MEDICAL OF FLORIDA, LLC |
| Practice Address |
3100 17th St Saint Cloud FL 34769-6021 |
| Mailing Address |
Po Box 7982 Seminole FL 33775-7982 |
| Practice Telephone | 4072702181 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | JENNIFER A FRIEND (ADMINISTRATOR) |
| Authorized Official Telephone | 6302041223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 139 S Pebble Beach Blvd, Sun City Center, FL 335735799 | 8139385195 | |
| 260 Crystal Grove Blvd, Lutz, FL 335486460 | 7278491309 |
| Street Address |
3100 17TH ST |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417913591 | Christopher Baur | Family Medicine | 3100 17th St, Saint Cloud, FL 34769-6021 | 2006-04-26 |
| 1083138622 | Bethany Mcqueen | Nurse Practitioner | 3100 17th St, Saint Cloud, FL 34769-6021 | 2017-07-26 |
| 1134583404 | Nikole Stephens | Student in an Organized Health Care Education/Training Program | 3100 17th St, Saint Cloud, FL 34769-6021 | 2016-04-12 |
| 1558798090 | Ila Anita Morin | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2013-09-30 |
| 1063765774 | Sierra A Hobbs | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2012-10-18 |
| 1427308055 | Pro Health Mso, LLC | Health Maintenance Organization | 3100 17th St, Saint Cloud, FL 34769-6021 | 2012-09-11 |
| 1386891760 | Belinda Bernard Johnson | Family Medicine | 3100 17th St, Saint Cloud, FL 34769-6021 | 2008-08-27 |
| 1689843054 | Kelley Grayson Brenner | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2008-02-29 |
| 1831220052 | Karl Schweinberg | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2007-03-08 |
| 1073600656 | Kimberly Rae Stein | Family Medicine | 3100 17th St, Saint Cloud, FL 34769-6021 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548709777 | Brittany Leopardi | Chiropractor | 3131 Garden Ct, Saint Cloud, FL 34769-6304 | 2017-02-21 |
| 1861931099 | Avenue One Chiropractic LLC | Chiropractor | 1933 S Narcoossee Rd, Saint Cloud, FL 34771-7211 | 2017-02-21 |
| 1518323088 | Gabriel Marti- Santos | Chiropractor | 2013 Live Oak Blvd Ste D, Saint Cloud, FL 34771-8410 | 2016-01-13 |
| 1649636283 | Krista Ann Blomdahl | Chiropractor | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6146 | 2016-01-12 |
| 1356683114 | Eric Michael Oltmanns | Chiropractor | 251 County Road 120 Ste B, Saint Cloud, MN 56303-4886 | 2013-03-20 |
| 1841561537 | Winters Family Chiropractic, Pa | Chiropractor | 4170 Thielman Ln Ste 104, Saint Cloud, MN 56301-3896 | 2012-01-26 |
| 1073753521 | Daniel Mark Kay | Chiropractor | 4503 Neptune Rd, Saint Cloud, FL 34769-6748 | 2009-02-24 |
| 1396990891 | Erika Leigh Yancey | Chiropractor | 44 28th Ave N, Suite H, Saint Cloud, MN 56303-4588 | 2008-11-25 |
| 1760642524 | Christopher Mcnichols | Chiropractor | 4028 13th St, Saint Cloud, FL 34769-6773 | 2008-06-14 |
| 1063686806 | Michael Svend Hanson | Chiropractor | 203 Cooper Ave N, Suite 160, Saint Cloud, MN 56303-4446 | 2008-04-14 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.