Mallory Vetter (NPI# 1376102855, PAC ID# 9234465626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1376102855 |
| PAC ID by PECOS | 9234465626 |
| Professional Enrollment ID | I20190723002058 |
| Full Name | Mallory Vetter |
| Organization Legal Name | FITNESS QUEST - NORTH PORT LLC |
| Address |
2530 Bobcat Village Ctr Rd Unit C North Port FL 34288-8475 |
| Phone Number | 9414267400 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4486759842 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2530 Bobcat Village Ctr Rd, Unit C, North Port, FL 34288-8475 | 9414267400 | FITNESS QUEST - NORTH PORT LLC |
| Organization Legal Name | FITNESS QUEST - NORTH PORT LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin L Pantano | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd C, North Port, FL 34288-8475 |
| Francisco Ramirez | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd, Unit C, North Port, FL 34288-8475 |
| Nikita Kalinoski | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd, Unit C, North Port, FL 34288-8475 |
| Melissa A Leisenring | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd, Unit C, North Port, FL 34288-8475 |
| Street Address |
2530 BOBCAT VILLAGE CTR RD UNIT C |
| City | NORTH PORT |
| State | FL |
| Zip | 34288-8475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco Ramirez | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd, Unit C, North Port, FL 34288-8475 |
| Nikita Kalinoski | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd, Unit C, North Port, FL 34288-8475 |
| Melissa A Leisenring | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd, Unit C, North Port, FL 34288-8475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candice D Martens Nicoll | Nurse Practitioner | 2975 Bobcat Village Ctr Rd, Suite 100, North Port, FL 34288-4603 | |
| William Crouch | Family Practice | Prime Health of North Port LLC | 2975 Bobcat Village Ctr Rd, Suite 100, North Port, FL 34288-4603 |
| Lee Gross | Family Practice | Prime Health of North Port LLC | 2975 Bobcat Village Ctr Rd, Suite 100, North Port, FL 34288-4603 |
| Erin L Pantano | Physical Therapy | Fitness Quest - North Port LLC | 2530 Bobcat Village Ctr Rd C, North Port, FL 34288-8475 |
| George Toth | Family Practice | Smh Physician Services Inc | 2345 Bobcat Village Ctr Rd, Suite 202, North Port, FL 34288-8997 |
| Janet Kralik Lewis | Internal Medicine | Smh Physician Services Inc | 2345 Bobcat Village Ctr Rd, Unit 202, North Port, FL 34288-8999 |
| City | NORTH PORT |
| Zip Code | 34288 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NORTH PORT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mallory Vetter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.