Provider Demographics
NPI:1467772939
Name:TOTAL NUTRITION AND FITNESS,LLC
Entity Type:Organization
Organization Name:TOTAL NUTRITION AND FITNESS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPITALERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-351-0900
Mailing Address - Street 1:808 N FRANKLIN ST
Mailing Address - Street 2:2104
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3816
Mailing Address - Country:US
Mailing Address - Phone:813-351-0900
Mailing Address - Fax:877-281-0539
Practice Address - Street 1:808 N FRANKLIN ST
Practice Address - Street 2:2104
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3816
Practice Address - Country:US
Practice Address - Phone:813-351-0900
Practice Address - Fax:877-281-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center