Provider Demographics
NPI:1245893791
Name:ROYALE FIT LLC
Entity type:Organization
Organization Name:ROYALE FIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUJIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-415-5985
Mailing Address - Street 1:2015 MAPLELEAF PL
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5634
Mailing Address - Country:US
Mailing Address - Phone:202-415-5985
Mailing Address - Fax:
Practice Address - Street 1:2015 MAPLELEAF PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5634
Practice Address - Country:US
Practice Address - Phone:202-415-5985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & SportsGroup - Single Specialty