MEDICARE: FOODTRITION LIFE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1902757263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOODTRITION LIFE LLC

Provider Business Mailing Address
First Line	:	7419 AVENIDA DEL MAR APT 2706
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-4873
Country	:	US
Telephone Number	:	305-409-0943
Fax Number	:

Provider Business Practice Location Address
First Line	:	7419 AVENIDA DEL MAR APT 2706
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-4873
Country	:	US
Telephone Number	:	305-409-0943
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN / OWNER
Name	:	MERCEDES BENADIVAS
Credential	:	RD, LDN
Telephone Number	:	305-409-0943

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “FOODTRITION LIFE LLC ” Practice Location

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