| NPI | 1154635621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRENIA M. DUBOSE CEO/Registered Dietitian 941-376-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND2921/847957) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND2921/847957) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |