| NPI | 1356686943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M. SMITH Fitness Trainer 386-986-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL AFAA 32385) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: FL AEA 60145) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |