Organization
NUTRINERD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA LEE HAMLIN RD (PROVIDER)
(352) 651-2669
Entity
Organization
Contact information
Practice address
3840 S APOPKA AVE, INVERNESS, FL 34452-7091
(408) 489-2251
(352) 726-2847
Mailing address
3840 S APOPKA AVE, INVERNESS, FL 34452-7091
(352) 651-2669
(352) 726-2847
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8946
LICENSE
FL
Enumeration date
04/02/2021
Last updated
10/04/2021
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