Organization Active NPI

Advanced Fitness & Therapy at Abacoa, Inc.

  • Specialist
  • Jupiter, FL
National Provider Identifier
1275564494
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED FITNESS & THERAPY AT ABACOA, INC.
Practice address
1200 University Blvd
#101
Jupiter, FL 33458-5215
Phone
(561) 694-1243
Fax
(561) 694-8992
NPI assigned
Jul 5, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sophie E. Gutierrez II
Title
Office Manager
Phone
(561) 694-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1200 University Blvd
#101
Jupiter, FL 33458-5215

Mailing address

1200 University Blvd
#101
Jupiter, FL 33458-5215
Phone (561) 694-1243

National Provider Directory

National Provider Directory

Locations

4106 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (407) 626-0991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1275564494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY BLVD",
            "address_2": "#101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585215",
            "telephone_number": "561-694-1243",
            "fax_number": "561-694-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY BLVD",
            "address_2": "#101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585215",
            "telephone_number": "561-694-1243",
            "fax_number": "561-694-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FITNESS & THERAPY AT ABACOA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-694-1243",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.