Provider Demographics
NPI:1528765971
Name:ORLANDO'S PERSONAL FITNESS INC.
Entity type:Organization
Organization Name:ORLANDO'S PERSONAL FITNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-940-8077
Mailing Address - Street 1:17200 CHENAL PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-5980
Mailing Address - Country:US
Mailing Address - Phone:501-821-6151
Mailing Address - Fax:501-821-6142
Practice Address - Street 1:17200 CHENAL PKWY STE 140
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-5980
Practice Address - Country:US
Practice Address - Phone:501-821-6151
Practice Address - Fax:501-821-6142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization