Organization
FOUR FRIENDS FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKENYA LAMPKINS (OWNER)
(904) 235-9429
Entity
Organization
Contact information
Practice address
8106 OLD KINGS RD S STE 4, JACKSONVILLE, FL 32217-5526
(904) 586-2118
Mailing address
8106 OLD KINGS RD S STE 4, JACKSONVILLE, FL 32217-5526
(904) 586-2118
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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