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General NPI Number Information
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NPI Number | 1871471235
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Entity Type | Organization
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Legal Business Name | FITNESS QUEST - VENICE LLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 9025 TOWN CENTER PKWY
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4175
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Country | US
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Telephone | 941-209-3922
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Fax | 941-209-3912
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Provider Business Mailing Address
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Address Line | 1650 LYNDON FARM CT STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40223-5005
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Country | US
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Telephone |
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Fax | 812-590-8333
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Authorized Official
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Title or Position | CHIEF LEGAL AND COMPLIANCE OFFICER
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Name | CYNTHIA MCCAULEY
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Credential |
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Telephone | 502-576-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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