Individual
NICOLE IMPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 SW 18TH AVE, FORT LAUDERDALE, FL 33315-1811
(713) 417-5156
Mailing address
2355 SW 18TH AVE, FORT LAUDERDALE, FL 33315-1811
(713) 417-5156
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
ND6341
FL
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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