MEDICARE: FITNESS QUEST - VENICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1346183886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FITNESS QUEST - VENICE LLC

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 BOBCAT VILLAGE CENTER RD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-8475
Country	:	US
Telephone Number	:	941-426-7400
Fax Number	:

Authorized Official
Title or Position	:	CHIEF LEGAL AND COMPLIANCE OFFICER
Name	:	CYNTHIA MCCAULEY
Credential	:
Telephone Number	:	502-576-3300

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “FITNESS QUEST - VENICE LLC ” Practice Location

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