Healthcare Provider Details

I. General information

NPI: 1962326702
Provider Name (Legal Business Name): LP NUTRITION AND FITNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

2332 GALIANO ST
CORAL GABLES FL
33134-5402
US

V. Phone/Fax

Practice location:
  • Phone: 786-519-2794
  • Fax:
Mailing address:
  • Phone: 786-519-2794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MR. LUKE PASCAL
Title or Position: OWNER
Credential: RD
Phone: 786-519-2794