Provider Demographics
NPI:1013631472
Name:SKFIT LLC
Entity Type:Organization
Organization Name:SKFIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:FONSECA
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN, CPT
Authorized Official - Phone:908-906-9701
Mailing Address - Street 1:2883 CRESTWOOD TER
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-9353
Mailing Address - Country:US
Mailing Address - Phone:908-906-9701
Mailing Address - Fax:
Practice Address - Street 1:2883 CRESTWOOD TER
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-9353
Practice Address - Country:US
Practice Address - Phone:908-906-9701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty