Provider Demographics
NPI:1942981394
Name:MEDIFIT HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:MEDIFIT HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-864-1061
Mailing Address - Street 1:7491 W OAKLAND PARK BLVD STE 306-1
Mailing Address - Street 2:STE 306-1
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4989
Mailing Address - Country:US
Mailing Address - Phone:954-824-1941
Mailing Address - Fax:
Practice Address - Street 1:7491 WEST OAKLAND PARK BLVD
Practice Address - Street 2:306-1
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-3331
Practice Address - Country:US
Practice Address - Phone:954-864-1061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies