Individual
SUSAN T GIANNAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-5196
Mailing address
1667 OCEAN BREEZE LN, GULF BREEZE, FL 32563-9263
(850) 626-5196
(850) 626-5195
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1441
FL
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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