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Contact Information

UNDERGROUND FITNESS 2, LLC
1137 LAKE UNDERHILL ROAD
SUITE 600
ORLANDO, FL32825
 Phone: 407-463-6940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for UNDERGROUND FITNESS 2, LLC

NPI # 1154664654
LBN Legal business name UNDERGROUND FITNESS 2, LLC
Authorized official JONATHAN BERGERON - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2013
Last updated 04/03/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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