Provider Profile
FITNESS QUEST-PALMER RANCH LLC
Health Care Clinic
FACILITY PROFILE
Street Address
- 8588 POTTER PARK DR
SARASOTA, FL 34238
County: Sarasota - Phone: (941) 361-9020
Mailing Address
- 11045 TAMIAMI TRL S
NORTH PORT, FL 34287-1072
County: Sarasota - Phone: (941) 361-9020
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | |||||||||||||||||||||
| Medical or Clinic Director: | Not Available | |||||||||||||||||||||
| Administrator: | JASON REID NIPPERT | |||||||||||||||||||||
| Owner/Licensee: | FITNESS QUEST-PALMER RANCH LLC | |||||||||||||||||||||
| Owner/Licensee Since: | 10/13/2016 | |||||||||||||||||||||
| ||||||||||||||||||||||
| Profit Status: | For-Profit | |||||||||||||||||||||
| Licensed Beds: | Not Available | |||||||||||||||||||||
| AHCA Number (File Number): | 11541 | |||||||||||||||||||||
| AHCA Field Office: | 08 | |||||||||||||||||||||
| License Number: | 392460 | |||||||||||||||||||||
| Current License Effective: | 3/22/2023 | |||||||||||||||||||||
| Current License Expires: | 3/21/2025 | |||||||||||||||||||||
| License Status: | FAILED TO RENEW | |||||||||||||||||||||
Services/Characteristics
| Specialty: | PIP Recipient |
| Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.