| NPI | 1730436064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PERRIN Owner/Lead Dietitian 904-377-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ND 5445) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |