Individual
ELIZABETH TABBOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 LAKESHORE DR APT 318, FORT LAUDERDALE, FL 33312-6621
(551) 804-4617
Mailing address
5800 LAKESHORE DR APT 318, FORT LAUDERDALE, FL 33312-6621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND14770
FL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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