Provider Demographics
NPI:1114097193
Name:FIT FOR LIFE HEALTH SERVICES PA
Entity Type:Organization
Organization Name:FIT FOR LIFE HEALTH SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:SEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-513-9800
Mailing Address - Street 1:2960 IMMOKALEE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1439
Mailing Address - Country:US
Mailing Address - Phone:239-513-9800
Mailing Address - Fax:239-513-0043
Practice Address - Street 1:2960 IMMOKALEE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1439
Practice Address - Country:US
Practice Address - Phone:239-513-9800
Practice Address - Fax:239-513-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6312490OtherCIGNA ID
FLK0166OtherMEDICARE GROUP ID
FL55621OtherBCBS
FLK0166OtherMEDICARE GROUP ID