Organization
FITNESS QUEST - BRADENTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACKENZIE M BARTRUFF (COO)
(941) 474-2700
Entity
Organization
Contact information
Practice address
2828 S MCCALL RD, UNIT 40, ENGLEWOOD, FL 34224-7791
(941) 474-2700
(941) 474-8081
Mailing address
3657 CORTEZ RD W STE 110, BRADENTON, FL 34210-3171
(941) 474-2700
(941) 474-8081
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BN795A
MEDICARE PTAN
FL
Enumeration date
10/07/2008
Last updated
04/09/2024
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