Provider Demographics
NPI:1760350938
Name:FOGLE, AIMEE (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:FOGLE
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SE 12TH ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-9219
Mailing Address - Country:US
Mailing Address - Phone:954-801-7682
Mailing Address - Fax:
Practice Address - Street 1:300 SE 12TH ST
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9219
Practice Address - Country:US
Practice Address - Phone:954-801-7682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach