Provider Demographics
NPI:1104565845
Name:FIGURE-OUTABLE LIFESTYLES, LLC
Entity type:Organization
Organization Name:FIGURE-OUTABLE LIFESTYLES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:561-693-9323
Mailing Address - Street 1:316 SE OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-5134
Mailing Address - Country:US
Mailing Address - Phone:561-693-9323
Mailing Address - Fax:
Practice Address - Street 1:316 SE OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-5134
Practice Address - Country:US
Practice Address - Phone:561-693-9323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty