| NPI | 1740772508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BEERY Managing Owner 407-505-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND7000) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |