Provider Demographics
NPI:1427394691
Name:BIOFIT HEALTH CENTER
Entity Type:Organization
Organization Name:BIOFIT HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETORY
Authorized Official - Prefix:MRS
Authorized Official - First Name:NASRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:BS; MNM
Authorized Official - Phone:407-217-6977
Mailing Address - Street 1:8917 CONROY-WINDERMERE RD.
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835
Mailing Address - Country:US
Mailing Address - Phone:407-992-9955
Mailing Address - Fax:
Practice Address - Street 1:8917 CONROY WINDERMERE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3127
Practice Address - Country:US
Practice Address - Phone:407-992-9955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMART BRAINS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL11000125499305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service