Organization Active NPI

Fit Life USA

  • Research Clinic/Center
  • St Pete Beach, FL
National Provider Identifier
1760379218
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
FIT LIFE USA
Practice address
102 28TH Ave
St Pete Beach, FL 33706-4116
Phone
(727) 641-1676
Fax
(727) 641-1676
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Ms. Shannon Olson
Title
Owner
Phone
(727) 641-1676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

102 28TH Ave
St Pete Beach, FL 33706-4116

Mailing address

102 28TH Ave
St Pete Beach, FL 33706-4116
Phone (727) 641-1676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1760379218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 28TH AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337064116",
            "telephone_number": "727-641-1676",
            "fax_number": "727-641-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 28TH AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337064116",
            "telephone_number": "727-641-1676",
            "fax_number": "727-641-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT LIFE USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-641-1676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pete Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.