Individual
MELINDA LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4343
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4343
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND2266
PROFESSIONAL LICENSE
FL
Enumeration date
08/12/2022
Last updated
12/22/2023
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