Healthcare Provider Details

I. General information

NPI: 1144176223
Provider Name (Legal Business Name): EAT WELL LIVE WELL NOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 SEAWAY DR
FORT PIERCE FL
34949-3104
US

IV. Provider business mailing address

2734 OAK ALLEY DR
FORT PIERCE FL
34981-5082
US

V. Phone/Fax

Practice location:
  • Phone: 954-826-9805
  • Fax:
Mailing address:
  • Phone: 954-826-9805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROSALIND VIETRI
Title or Position: PRESIDENT
Credential: CHC
Phone: 954-826-9805