Healthcare Provider Details

I. General information

NPI: 1497607329
Provider Name (Legal Business Name): FIT FOR L.Y.F.E
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SW 1ST AVE
MIAMI FL
33129-1178
US

IV. Provider business mailing address

1065 SW 8TH ST # 2379
MIAMI FL
33130-3601
US

V. Phone/Fax

Practice location:
  • Phone: 844-880-4549
  • Fax:
Mailing address:
  • Phone: 844-880-4549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. KYRON J MILES
Title or Position: OWNER AND CEO
Credential: PERSONAL TRAINER MGR
Phone: 305-481-1956