Provider Demographics
NPI:1942541735
Name:HEALTHYFITT LLC
Entity Type:Organization
Organization Name:HEALTHYFITT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
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:239-732-7625
Mailing Address - Street 1:8090 SORRENTO LN
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-2722
Mailing Address - Country:US
Mailing Address - Phone:239-732-7625
Mailing Address - Fax:
Practice Address - Street 1:8090 SORRENTO LN
Practice Address - Street 2:SUITE 3
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-2722
Practice Address - Country:US
Practice Address - Phone:239-732-7625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH 10802OtherFLORIDA STATE LICENSE