# ROOTED IN LIFESTYLE, L.L.C.

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

## Provider details

- **NPI number:** 1588477681
- **Authorized official:** MRS. LINDA DOROTHIE JEAN M.D. (PHYSICIAN MANAGER)
- **Authorized official phone:** (786) 262-9007

## Contact information

- **Practice address:** 600 HERITAGE DR., SUITE 210, JUPITER, FL 33458-3097
- **Practice address phone:** (786) 262-9007
- **Practice address fax:** (561) 370-3081
- **Mailing address:** 600 HERITAGE DR., SUITE 210, JUPITER, FL 33458-3097
- **Mailing address phone:** (786) 262-9007
- **Mailing address fax:** (561) 370-3081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2025
- **Last updated:** 01/31/2025