Enhancing Lifestyles, Inc. | |
2806 Nw 48th St Tamarac FL 33309-2941 | |
(954) 816-6198 | |
Not Available |
Full Name | Enhancing Lifestyles, Inc. |
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Speciality | Clinic/center - Community Health |
Location | 2806 Nw 48th St, Tamarac, Florida |
Authorized Official Name and Position | Raquel Cordoves (REGISTEREDLICENSED DIETITIAN) |
Authorized Official Contact | 9548166198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Enhancing Lifestyles, Inc. 2806 Nw 48th St Tamarac FL 33309-2941 Ph: () - | Enhancing Lifestyles, Inc. 2806 Nw 48th St Tamarac FL 33309-2941 Ph: (954) 816-6198 |
NPI Number | 1407927684 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1407927684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | ND 3415 (Florida) | Primary |
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