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Organization

NUTRILACT CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEROMINA RAPHAEL RD (OWNER, REGISTERED DIETITIAN)
(954) 513-7159
Entity
Organization

Contact information

Practice address
5100 SW 41 STREET, UNIT 216, HOLLYWOOD, FL 33023-6988
(954) 513-7159
Mailing address
PO BOX 19187, PLANTATION, FL 33318-0187

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
174N00000X
Lactation Consultant (Non-RN)

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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