Organization
ENHANCING LIFESTYLES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL CORDOVES RD, LDN (REGISTEREDLICENSED DIETITIAN)
(954) 816-6198
Entity
Organization
Contact information
Practice address
2806 NW 48TH ST, TAMARAC, FL 33309-2941
(954) 816-6198
Mailing address
2806 NW 48TH ST, TAMARAC, FL 33309-2941
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
ND 3415
FL
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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