Provider Demographics
NPI:1770316655
Name:FITNESS-4-DOWNS INC.
Entity type:Organization
Organization Name:FITNESS-4-DOWNS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD FITNESS INSTRUCTOR /COACH
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:IAFS CPT
Authorized Official - Phone:813-869-4360
Mailing Address - Street 1:6209 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-1345
Mailing Address - Country:US
Mailing Address - Phone:813-869-4360
Mailing Address - Fax:
Practice Address - Street 1:6105 E SLIGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-9102
Practice Address - Country:US
Practice Address - Phone:813-744-5978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty