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Organization
VILLAGE NUTRITIONIST
Active
Organization
VILLAGE NUTRITIONIST
Active
Other names
The Village Nutritionist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VINCENT LOGOMARSINO PHD, RD, LD/N (SOLE MEMBER)
(352) 430-5487
Entity
Organization
Contact information
Practice address
842 MAYBANK LOOP, THE VILLAGES, FL 32162
(352) 430-5487
Mailing address
842 MAYBANK LOOP, THE VILLAGES, FL 32162
(352) 430-5487
Taxonomy
Speciality
Code
Description
License number
State
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
—
NULL
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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