Individual
MR. MARK DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-3252
Mailing address
331 NW 38TH ST, POMPANO BEACH, FL 33064-2738
(954) 786-0645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4449
FL
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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