# FIT FOR LIFE MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497934426
- **Authorized official:** DR. DAWNE M CARROLL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 818-1243

## Contact information

- **Practice address:** 14300 GALLANT FOX LN, STE 118, BOWIE, MD 20715-4003
- **Practice address phone:** (301) 805-4348
- **Practice address fax:** (301) 805-6779
- **Mailing address:** 12138 CENTRAL AVE STE 953, BOWIE, MD 20721-1910
- **Mailing address phone:** (301) 818-1243
- **Mailing address fax:** (240) 435-2692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101041759 | VA | — |
| 207Q00000X | Family Medicine Physician | D0042719 | MD | Yes |
| 207Q00000X | Family Medicine Physician | MD16892 | DC | — |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 04/13/2023