Provider Demographics
NPI:1790323202
Name:EAT 2 HEAL, LLC
Entity Type:Organization
Organization Name:EAT 2 HEAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:ASENCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN, CNSC
Authorized Official - Phone:754-216-2802
Mailing Address - Street 1:4101 N ANDREWS AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4769
Mailing Address - Country:US
Mailing Address - Phone:754-216-2802
Mailing Address - Fax:
Practice Address - Street 1:4101 N ANDREWS AVE STE 105
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-4769
Practice Address - Country:US
Practice Address - Phone:754-216-2802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty