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Organization

DUBOSE & ASSOCIATES NUTRITION MANAGEMENT COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATRENIA M. DUBOSE RD, LD/N (CEO/REGISTERED DIETITIAN)
(941) 376-6060
Entity
Organization

Contact information

Practice address
5104 N LOCKWOOD RIDGE RD, SUITE 104-A, SARASOTA, FL 34234-3311
(941) 360-0505
(941) 360-6767
Mailing address
5104 N LOCKWOOD RIDGE RD, SUITE 104-A, SARASOTA, FL 34234-3311
(941) 360-0505
(941) 360-6767

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
ND2921/847957
FL
133V00000X
Registered Dietitian
Primary
ND2921/847957
FL

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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