Organization
PHARA INC
Active
Other names
Medical Nutrition Therapy Works
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHARA JOURDAN TAYLOR MS, RD, LDN (CEO)
(617) 461-8503
Entity
Organization
Contact information
Practice address
135 NW MAGNOLIA LAKES BLVD, PORT ST LUCIE, FL 34986-3568
(617) 461-8503
(617) 249-1769
Mailing address
135 NW MAGNOLIA LAKES BLVD, PORT ST LUCIE, FL 34986-3568
(617) 461-8503
(617) 249-1769
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5606
FL
Other
Enumeration date
01/10/2010
Last updated
02/12/2010
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