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Organization

VIDA NUTRITION, LLC

Active
Other names
Vida Nutrition and Conscious Living
Organization subpart
No

Provider details

NPI number
Authorized official
DINA M BLANKENBERGER GARCIA RD, LDN (OWNER / OPERATOR)
(786) 479-4081
Entity
Organization

Contact information

Practice address
20216 INDIAN ROSEWOOD DR, TAMPA, FL 33647-3485
(786) 479-4081
(786) 923-0949
Mailing address
20216 INDIAN ROSEWOOD DR, TAMPA, FL 33647-3485
(786) 479-4081
(786) 923-0949

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/16/2016
Last updated
08/21/2023
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