Organization
ST. PETERSBURG NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA FIKRY (MANAGER/REGISTERED DIETITIAN)
(727) 344-9933
Entity
Organization
Contact information
Practice address
3862 CENTRAL AVE STE A, SAINT PETERSBURG, FL 33711-1202
(727) 344-9933
Mailing address
3862 CENTRAL AVE STE A, SAINT PETERSBURG, FL 33711-1202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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