Organization
DIAT INC.
Active
Other names
Yadira
Organization subpart
No
Provider details
NPI number
Authorized official
JACEY LEONARD MS, RD, RDN (NUTRITION MANAGER)
(561) 715-2091
Entity
Organization
Contact information
Practice address
1111 LINCOLN RD STE 500, MIAMI BEACH, FL 33139-2439
(561) 715-2091
Mailing address
1111 LINCOLN RD STE 500, MIAMI BEACH, FL 33139-2439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
Other
Enumeration date
08/06/2024
Last updated
08/27/2024
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