Provider Demographics
NPI:1821597683
Name:HEALTHY FIT LLC
Entity Type:Organization
Organization Name:HEALTHY FIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEIBLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-692-8371
Mailing Address - Street 1:7574 ROZZINI LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-2673
Mailing Address - Country:US
Mailing Address - Phone:239-692-8371
Mailing Address - Fax:
Practice Address - Street 1:7574 ROZZINI LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-2673
Practice Address - Country:US
Practice Address - Phone:631-871-7701
Practice Address - Fax:239-692-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty