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Organization

PROACTIVE PLATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY NICOLE ESTERLINE RDN, LN (CEO)
(239) 284-4906
Entity
Organization

Contact information

Practice address
119 SE 39TH ST, CAPE CORAL, FL 33904-8338
(239) 284-4906
Mailing address
119 SE 39TH ST, CAPE CORAL, FL 33904-8338
(239) 284-4906

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
10/10/2025
Last updated
10/10/2025
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