NPI 1093090854

Fun Fit Vibe LLC

Organisation Specialist Lewes, DE

Practice location

Address: 1604 Savannah Rd, Lewes, DE 19958-1662
Phone: (302) 249-8000
Mailing address: PO Box 142, Nassau, DE 19969-0142

Authorised official

Name: Gregory Mervine
Title: Coach
Phone: (302) 249-8000

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 017525 (DE)

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Registry record

NPI: 1093090854
Entity type: Organization
NPI issued: 12 Oct 2011
Record last updated: 12 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.