Organization
FLORIDA BARIATRICS AND NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YADIRA HERNANDEZ (OWNER)
(305) 279-1515
Entity
Organization
Contact information
Practice address
14221 SW 120TH ST STE 129, MIAMI, FL 33186-7463
(305) 279-3502
Mailing address
14221 SW 120TH ST STE 129, MIAMI, FL 33186-7463
(305) 279-3502
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
ME57645
FL
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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