# VILLAGE NUTRITIONIST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Village Nutritionist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134763055
- **Authorized official:** DR. JOHN VINCENT LOGOMARSINO PHD, RD, LD/N (SOLE MEMBER)
- **Authorized official phone:** (352) 430-5487

## Contact information

- **Practice address:** 842 MAYBANK LOOP, THE VILLAGES, FL 32162
- **Practice address phone:** (352) 430-5487
- **Mailing address:** 842 MAYBANK LOOP, THE VILLAGES, FL 32162
- **Mailing address phone:** (352) 430-5487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1101X | Gerontological Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1101X | Gerontological Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2019
- **Last updated:** 11/04/2019