Organization
PREMIER DIETETICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS HARRIS RDN (CEO)
(619) 565-9126
Entity
Organization
Contact information
Practice address
9630 US HIGHWAY 301 S, RIVERVIEW, FL 33578-5442
(813) 534-8189
Mailing address
12225 LEDBURY COMMONS DR, GIBSONTON, FL 33534-3000
(813) 534-8189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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