Individual
MARVICK MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
4701 SW 27TH ST, WEST PARK, FL 33023-4359
(786) 523-9555
Mailing address
4701 SW 27TH ST, WEST PARK, FL 33023-4359
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7257
FL
Other
Enumeration date
06/08/2015
Last updated
01/31/2017
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