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Organization
THE DYSFUNCTIONAL DIETITIAN
Active
Organization
THE DYSFUNCTIONAL DIETITIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYNOVIA J SIMONS RDN (OWNER)
(252) 267-6580
Entity
Organization
Contact information
Practice address
2229 MARSH VIEW DR UNIT 203, WESLEY CHAPEL, FL 33544-4718
(252) 267-6580
Mailing address
2229 MARSH VIEW DR UNIT 203, WESLEY CHAPEL, FL 33544-4718
(252) 267-6580
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
01/16/2020
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