Healthcare Provider Details

I. General information

NPI: 1285511477
Provider Name (Legal Business Name): FITMATE MEDICAL GROUP P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N CALHOUN ST STE 4
TALLAHASSEE FL
32301-1568
US

IV. Provider business mailing address

2627 HANOVER ST
PALO ALTO CA
94304-1118
US

V. Phone/Fax

Practice location:
  • Phone: 350-203-9425
  • Fax:
Mailing address:
  • Phone: 350-203-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: RACHEL A QUINN
Title or Position: PRESIDENT
Credential: MD
Phone: 800-674-3766