Provider Demographics
NPI:1629438601
Name:YOUFIT HEALTH CLUBS
Entity Type:Organization
Organization Name:YOUFIT HEALTH CLUBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:RUDDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MSS
Authorized Official - Phone:828-337-3947
Mailing Address - Street 1:1350 EAST NEWPORT CENTER DRIVE #200
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442
Mailing Address - Country:US
Mailing Address - Phone:770-336-6010
Mailing Address - Fax:
Practice Address - Street 1:3895 CHEROKEE ST SUITE 100
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144
Practice Address - Country:US
Practice Address - Phone:770-336-6010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUFIT HEALTH CLUBS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health