Provider Demographics
NPI:1265857403
Name:NU-ME FITNESS AND EQUIPMENT
Entity Type:Organization
Organization Name:NU-ME FITNESS AND EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:VELLEFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-479-6620
Mailing Address - Street 1:3150 N WICKHAM RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2322
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3150 N WICKHAM RD
Practice Address - Street 2:SUITE 9
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2322
Practice Address - Country:US
Practice Address - Phone:386-479-6620
Practice Address - Fax:321-241-6443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42998261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center