Organization
BARIWELL LIFESTYLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA ROSENBERG RD (DIETITIAN)
(954) 829-8822
Entity
Organization
Contact information
Practice address
782 NOCATEE VILLAGE DR, PONTE VEDRA BEACH, FL 32081-0280
(954) 829-8822
Mailing address
130 CORRIDOR RD UNIT 704, PONTE VEDRA, FL 32004-7729
(954) 829-8822
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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