Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fit for Life Medical Center Inc

Organization Family Medicine Physician · NPI 1497934426

Fit for Life Medical Center Inc is a Family Medicine Physician in Bowie, Maryland. Licensed in District of Columbia, Maryland and Virginia. Registered with an NPI since 2007.

Licensed in
DC, MD, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14300 Gallant Fox Ln Ste 118
Bowie, MD 20715-4003
Phone: (301) 805-4348
Fax: (301) 805-6779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0042719 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101041759 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD16892 (DC)

Record details

NPI number1497934426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawne Carroll — Medical Director · (301) 818-1243
NPI enumeratedOctober 26, 2007
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address12138 Central Ave Ste 953, Bowie, MD 20721-1910

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