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Organization
FLORIDA FITWAVE
Active
Organization
FLORIDA FITWAVE
Active
Other names
Anytime Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JOSEPH WILLEMS (OWNER/AUTHORIZED OFFICAL)
(850) 628-8853
Entity
Organization
Contact information
Practice address
107 W 23RD ST STE W8, PANAMA CITY, FL 32405-7619
(850) 818-8184
Mailing address
107 W 23RD ST STE W8, PANAMA CITY, FL 32405-7619
(850) 628-8853
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NULL
Other
Enumeration date
09/30/2026
Last updated
09/30/2026
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