Organization
GET FIT BY JOURNEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY THELWELL (PRESIDENT)
(407) 412-6453
Entity
Organization
Contact information
Practice address
4101 PARK LAKE ST, ORLANDO, FL 32803-5265
(407) 412-6453
Mailing address
4101 PARK LAKE ST, ORLANDO, FL 32803-5265
(407) 412-6453
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316617285
—
FL
Enumeration date
09/14/2021
Last updated
01/02/2022
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