Individual
CARLA MARIE DEFURIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RDN, LDN
Contact information
Practice address
351 TOWN PLAZA AVE STE 105, PONTE VEDRA, FL 32081-5179
(904) 819-3233
Mailing address
PO BOX 3266, ST AUGUSTINE, FL 32085-3266
(904) 819-4602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 7872
FL
Other
Enumeration date
07/05/2016
Last updated
04/30/2024
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