# ENHANCING LIFESTYLES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407927684
- **Authorized official:** MRS. RAQUEL CORDOVES RD, LDN (REGISTEREDLICENSED DIETITIAN)
- **Authorized official phone:** (954) 816-6198

## Contact information

- **Practice address:** 2806 NW 48TH ST, TAMARAC, FL 33309-2941
- **Practice address phone:** (954) 816-6198
- **Mailing address:** 2806 NW 48TH ST, TAMARAC, FL 33309-2941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | ND 3415 | FL | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 08/22/2020