| NPI | 1790842383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY E BROWN Licensed Dietitian 352-258-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND4570) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |