| NPI | 1568936722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DOLORES BOHORQUEZ President 321-948-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2021-09-21 |