Healthcare Provider Details

I. General information

NPI: 1083513337
Provider Name (Legal Business Name): AIR FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2026
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 BADLANDS DR
BRANDON FL
33511-2808
US

IV. Provider business mailing address

2060 BADLANDS DR
BRANDON FL
33511-2808
US

V. Phone/Fax

Practice location:
  • Phone: 717-418-3321
  • Fax:
Mailing address:
  • Phone: 717-418-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMIE MORALES
Title or Position: OFFICE MANAGER
Credential:
Phone: 813-954-0336