Provider Demographics
NPI:1356088520
Name:MEDFIT CARE
Entity Type:Organization
Organization Name:MEDFIT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEOANES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-571-9074
Mailing Address - Street 1:851 W SR 436 STE 1039
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3041
Mailing Address - Country:US
Mailing Address - Phone:407-571-9074
Mailing Address - Fax:407-571-9175
Practice Address - Street 1:851 W SR 436 STE 1039
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3041
Practice Address - Country:US
Practice Address - Phone:407-571-9074
Practice Address - Fax:407-571-9175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care