# FUNCTIONALLY FIT FITNESS CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Functionally Fit Fitness Center, INC, Functionally Fit Chiropractor Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740796895
- **Authorized official:** MR. GERALD BOWMAN PTA, DC (OWNER)
- **Authorized official phone:** (302) 543-0133

## Contact information

- **Practice address:** 3802 MURRELL RD, ROCKLEDGE, FL 32955
- **Practice address phone:** (321) 877-2090
- **Mailing address:** 7777 N WICKHAM RD UNIT 12-514, MELBOURNE, FL 32940-7976
- **Mailing address phone:** (302) 543-0133
- **Mailing address fax:** (321) 349-0217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 19703 | FL | Yes |
| 225100000X | Physical Therapist | 19703 | FL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | FL | — |

## Other

- **Enumeration date:** 12/26/2017
- **Last updated:** 05/29/2026