NPI | 1578714184 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCI PAGE SLOANE CEO/As President 561-702-4119 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND3024) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL ND3024) |
133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: FL ND3024) | |
133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: FL ND3024) | |
261QC1500X Clinic/Center, Community Health (Licence: FL ND3024) | |
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: FL ND3024) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ND3024) | |
Enumeration Date | 2008-10-02 |
Last Update Date | 2011-09-29 |