Organization
FITNESS QUEST - NORTH PORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACKENZIE M BARTRUFF (MANAGING MEMBER)
(941) 426-7400
Entity
Organization
Contact information
Practice address
2530 BOBCAT VILLAGE CENTER RD, SUITE C, NORTH PORT, FL 34288-8475
(941) 426-7400
(941) 426-7044
Mailing address
3657 CORTEZ RD W STE 110, BRADENTON, FL 34210-3171
(941) 426-7400
(941) 426-7044
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB743
MEDICARE PTAN
FL
Enumeration date
11/01/2006
Last updated
04/09/2024
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