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Organization
DR PAT THE RD LLC
Active
Organization
DR PAT THE RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA JOLANDA BRATHWAITE EDD MPH RD LDN (PRESIDENT)
(786) 234-2184
Entity
Organization
Contact information
Practice address
12267 SW 251ST TER, HOMESTEAD, FL 33032-5926
(786) 234-2184
(888) 776-0842
Mailing address
PO BOX 972371, MIAMI, FL 33197-2371
(786) 234-2184
(888) 776-0842
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND4594
FL
133V00000X
Registered Dietitian
Primary
ND4594
FL
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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