Provider Demographics
NPI:1750143582
Name:BARIENDO FLORIDA LLC
Entity type:Organization
Organization Name:BARIENDO FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PICHAYUT
Authorized Official - Middle Name:
Authorized Official - Last Name:JIRAPINYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-704-3901
Mailing Address - Street 1:225 WOOLSEY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-1945
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14601 SW 29TH ST STE 301
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4714
Practice Address - Country:US
Practice Address - Phone:305-921-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty