Healthcare Provider Details

I. General information

NPI: 1013348234
Provider Name (Legal Business Name): NU-ME FITNESS AND EQUIPMENT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2013
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N WICKHAM RD SUITE 9
MELBOURNE FL
32935-2322
US

IV. Provider business mailing address

3150 N WICKHAM RD SUITE 9
MELBOURNE FL
32935-2322
US

V. Phone/Fax

Practice location:
  • Phone: 321-241-6441
  • Fax: 321-241-6443
Mailing address:
  • Phone: 321-241-6441
  • Fax: 321-241-6443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS K VELLEFF JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 321-241-6441