Organization Active NPI

Florida Fitwave

Doing business as Anytime Fitness

  • Health & Wellness Coach
  • Panama City, FL
National Provider Identifier
1467366021
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
FLORIDA FITWAVE
Doing business as
Anytime Fitness
Practice address
107 W 23Rd St Ste W8
Panama City, FL 32405-7619
Phone
(850) 818-8184
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Daniel Joseph Willems
Title
Owner/Authorized Offical
Phone
(850) 628-8853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X NU Primary

Addresses

Primary practice location

107 W 23Rd St Ste W8
Panama City, FL 32405-7619

Mailing address

107 W 23Rd St Ste W8
Panama City, FL 32405-7619
Phone (850) 628-8853

Other names 1

  • Anytime Fitness Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1467366021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 23RD ST STE W8",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057619",
            "telephone_number": "850-628-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 23RD ST STE W8",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057619",
            "telephone_number": "850-818-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FITWAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "WILLEMS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "850-628-8853"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anytime Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.