Provider Demographics
NPI:1932437159
Name:P.A.M. FITNESS PLUS, INC.
Entity Type:Organization
Organization Name:P.A.M. FITNESS PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:561-306-5260
Mailing Address - Street 1:9511 BOCA GARDENS CIR S
Mailing Address - Street 2:STE. C
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3757
Mailing Address - Country:US
Mailing Address - Phone:561-306-5260
Mailing Address - Fax:
Practice Address - Street 1:9511 BOCA GARDENS CIR S
Practice Address - Street 2:STE. C
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-3757
Practice Address - Country:US
Practice Address - Phone:561-306-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17713225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty