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Organization
PLANOS NUTRITION, INC
Active
Organization
PLANOS NUTRITION, INC
Active
Other names
Vive Nutrition, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES EDUARDO AYESTA HERRERA RD, LD (CEO)
(812) 604-0958
Entity
Organization
Contact information
Practice address
1205 N FRANKLIN ST STE 332, TAMPA, FL 33602-3313
(812) 604-0958
Mailing address
1205 N FRANKLIN ST STE 332, TAMPA, FL 33602-3313
(812) 604-0958
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6920
FL
Other
Enumeration date
02/23/2016
Last updated
04/11/2024
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