Individual
NANCY ALEXIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LDN
Contact information
Practice address
1621 SW 120TH AVE, PEMBROKE PINES, FL 33025-3704
(954) 945-0016
Mailing address
4042 N PINE ISLAND RD APT 1A, SUNRISE, FL 33351-6525
(954) 945-0016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11984
FL
133VN1101X
Gerontological Nutrition Registered Dietitian
11984
FL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
11984
FL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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