Healthcare Provider Details
I. General information
NPI: 1295445385
Provider Name (Legal Business Name): WHAT 2 EAT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3217 MCKINLEY ST
HOLLYWOOD FL
33021-5028
US
IV. Provider business mailing address
3217 MCKINLEY ST
HOLLYWOOD FL
33021-5028
US
V. Phone/Fax
- Phone: 954-655-3455
- Fax:
- Phone: 954-655-3455
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNA
FRAKER
Title or Position: REGISTERED DIETITIAN
Credential: RD, LD, CDCES
Phone: 954-655-3455