Provider Demographics
NPI:1588945497
Name:FLORIDA FITNESS INTERNATIONAL, INC
Entity type:Organization
Organization Name:FLORIDA FITNESS INTERNATIONAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONKA
Authorized Official - Middle Name:I
Authorized Official - Last Name:CASCAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-224-0408
Mailing Address - Street 1:1861 CORDOVA ROAD
Mailing Address - Street 2:
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316
Mailing Address - Country:US
Mailing Address - Phone:954-767-8005
Mailing Address - Fax:954-767-8085
Practice Address - Street 1:1861 CORDOVA ROAD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316
Practice Address - Country:US
Practice Address - Phone:954-767-8005
Practice Address - Fax:954-767-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6197225100000X
FLOT14421225X00000X
FLAP2152171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty