Provider Demographics
NPI:1700569985
Name:ECKERT, ARACELI (RDN)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:ECKERT
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7440 N KENDALL DR APT 3503
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-8081
Mailing Address - Country:US
Mailing Address - Phone:305-316-5612
Mailing Address - Fax:
Practice Address - Street 1:7440 N KENDALL DR APT 3503
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-8081
Practice Address - Country:US
Practice Address - Phone:305-316-5612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86066793133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered