Individual
RYAN FREDERICK SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1739 VILLAGE BLVD APT 107, WEST PALM BEACH, FL 33409-2068
(772) 342-4322
Mailing address
1739 VILLAGE BLVD APT 107, WEST PALM BEACH, FL 33409-2068
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86062838
CDR
—
01
—
ND7653
FLORIDA STATE LICENSE, DEPARTMENT OF HEALTH
FL
Enumeration date
09/27/2023
Last updated
09/27/2023
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