Organization
YOUR DIETITIAN FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA AXELROD RD (OWNER)
(954) 850-2926
Entity
Organization
Contact information
Practice address
15901 SURREY CIR, DAVIE, FL 33331-2571
(954) 850-2926
Mailing address
15901 SURREY CIR, DAVIE, FL 33331-2571
(954) 850-2926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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