Individual
ANNE ELIZABETH CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4680 LIPSCOMB ST NE, SUITE 5-H, PALM BAY, FL 32905-2984
(321) 676-0255
(321) 728-8610
Mailing address
4680 LIPSCOMB ST NE, SUITE 5-H, PALM BAY, FL 32905-2984
(321) 676-0255
(321) 728-8610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 2586
FL
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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