Individual
BETTY PHANORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND12796
FL
133V00000X
Registered Dietitian
Primary
ND12796
FL
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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