Provider Demographics
NPI:1831732122
Name:ASENCIO, FRANCES DIANNE (MS, RD, LDN, CNSC)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:DIANNE
Last Name:ASENCIO
Suffix:
Gender:F
Credentials:MS, RD, LDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 VAN BUREN ST APT 121A
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-7812
Mailing Address - Country:US
Mailing Address - Phone:973-474-0665
Mailing Address - Fax:
Practice Address - Street 1:1919 VAN BUREN ST APT 121A
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-7812
Practice Address - Country:US
Practice Address - Phone:973-474-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-20
Last Update Date:2019-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL846757133VN1101X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Gerontological