TOTAL VITALITY MEDICAL GROUP LLC
NPI 1487086914
Clinic/Center - Health Service in Clearwater, FL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

Active since August 07, 2013CLIA 10D2013318 · Waiver

24945 US HIGHWAY 19 N, CLEARWATER, FL 33763(727) 726-1460(727) 724-9705 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Total Vitality Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOTAL VITALITY MEDICAL GROUP LLC (NPI 1487086914) is a healthcare organization registered as a health service in Clearwater, Florida and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Carol Botbyl, Certified Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1487086914

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameTOTAL VITALITY MEDICAL GROUP LLC

Location Address24945 US HIGHWAY 19 NClearwater, FL 33763-3927

Mailing Address24945 Us Highway 19 NClearwater, FL 33763-3927 · (727) 726-1460 · Fax (727) 724-9705

Phone(727) 726-1460

Fax(727) 724-9705

Organization SubpartYesParent: Suncoast Total Healthcare Llc

Authorized OfficialCarol BotbylCertified Practice Manager · (727) 726-1460

Enumeration DateAugust 7, 2013

✔ NPI 1487086914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

24945 US HIGHWAY 19 N, Clearwater, FL 33763

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2013318

Total Vitality Medical Group LLC · Clearwater, FL

Active · expires Sep 16, 2026

CLIA Number10D2013318

Laboratory TypePhysician Office

Certificate Effective DateSeptember 17, 2024

Certificate Expiration DateSeptember 16, 2026

Laboratory DirectorDavid Wolstein

Laboratory Phone(727) 726-1460

Laboratory LocationTotal Vitality Medical Group LLC24945 Us Hwy 19 N, Clearwater, FL 33763

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES WILSON SMITH JR. LMT

Marriage & Family Therapist