Provider Demographics
NPI:1134852486
Name:PIECES FITNESS LLC
Entity type:Organization
Organization Name:PIECES FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEV
Authorized Official - Middle Name:A
Authorized Official - Last Name:LACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-864-8133
Mailing Address - Street 1:30 E EVANS ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-3942
Mailing Address - Country:US
Mailing Address - Phone:407-864-8133
Mailing Address - Fax:
Practice Address - Street 1:30 E EVANS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-3942
Practice Address - Country:US
Practice Address - Phone:407-864-8133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty