| NPI | 1174807499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN L. CAPOZZO President/Owner 239-825-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 4011) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |