OrganizationActive
Enhancing Lifestyles, Inc.
NPI 1407927684 · Community Health Clinic/Center · Tamarac, FL
Provider details
- NPI number
- 1407927684
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Raquel Cordoves, Registeredlicensed Dietitian
- License
- ND 3415 (FL)
Mailing address
2806 Nw 48th St
Tamarac, FL 33309-2941
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.