FQ0014 (NPI# 1467079368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467079368 |
| Entity Type | Organization |
| Organization Name | FQ0014 |
| Other Organization Name | FITNESS QUEST GATEWAY |
| Practice Address |
11930 Fairway Lakes Dr Ste 103 Fort Myers FL 33913 |
| Mailing Address |
11045 Tamiami Trl S North Port FL 34287-1072 |
| Practice Telephone | 2396873224 |
| Practice Fax Number | 2396873275 |
| Mailing Telephone | 9416873224 |
| Mailing Fax Number | 9416873275 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MACKENZIE BARTRUFF (OWNER) |
| Authorized Official Telephone | 9419165702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fitness Quest Gateway | Doing Business As Name - Organization |
| Street Address |
11930 FAIRWAY LAKES DR STE 103 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| 1578848164 | David L. Lovell | Pharmacist | 10088 Gulf Center Drive, Costco Pharmacy 0621, Ft Myers, FL 33913 | 2011-10-15 |
| Find all providers in zip 33913 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700338274 | Lee Wellness and Rehab LLC | Clinic/Center | 4048 Evans Ave Ste 210, Fort Myers, FL 33901-9385 | 2016-10-31 |
| 1598004053 | Ge Spine Orthopedic Sports Therapy Center LLC | Clinic/Center | 7331 College Pkwy Ste 230, Fort Myers, FL 33907-5524 | 2013-02-04 |
| 1518251404 | Brian Lee Bochette | Clinic/Center | 6314 Whiskey Creek Dr Ste D, Fort Myers, FL 33919-8762 | 2011-06-08 |
| 1811288293 | Gladiolus Medical Center Corp. | Clinic/Center | 8750 Gladiolus Dr, Suite # 5, Fort Myers, FL 33908-4165 | 2011-04-20 |
| 1891093068 | Bonett Rehab Center Inc | Clinic/Center | 3900 Broadway Bldg B Unit-7, Fort Myers, FL 33901-8193 | 2011-03-11 |
| 1356663371 | Edison Chiropractor Center Inc | Clinic/Center | 6325 Presidential Ct Ste 2, Fort Myers, FL 33919-3515 | 2010-02-17 |
| 1316103336 | Ace Rehabilitation Services,llc | Clinic/Center | 8779 Spring Mountain Way, Fort Myers, FL 33908-9676 | 2008-07-29 |
| 1285856526 | Robert Volski & Associates Inc | Clinic/Center | 12734 Kenwood Lane, Suite 56, Fort Myers, FL 33907-5638 | 2007-05-03 |
| 1447384219 | Sunshine Rehabilitation Inc | Clinic/Center | 6710 Winkler Rd, Unit # 4, Fort Myers, FL 33919-7274 | 2007-03-15 |
| 1568511624 | Arc Therapy Services LLC | Clinic/Center | 8351 College Pkwy, Fort Myers, FL 33919-5153 | 2007-01-09 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
Please comment or provide details below to improve the information on FQ0014.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.