Individual
MRS. CAROL PATRICIA PEIRCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
4015 SW MELBOURNE ST, PORT SAINT LUCIE, FL 34953-5955
(772) 879-6168
(772) 879-2326
Mailing address
4015 SW MELBOURNE ST, PORT SAINT LUCIE, FL 34953-5955
(772) 879-6168
(772) 879-2326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VOOOOOX
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
644547
AMERICAN DIETETIC ASSOCIA
FL
Enumeration date
08/31/2006
Last updated
07/08/2007
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