Organization
OMNIFIT SPORTS & FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK SPENCE JR. (MANAGER)
(786) 371-4116
Entity
Organization
Contact information
Practice address
1838 NW 57TH ST, MIAMI, FL 33142-3056
(786) 525-7669
Mailing address
1838 NW 57TH ST, MIAMI, FL 33142-3056
(786) 525-7669
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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