Individual
MARTHA C THERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LDN
Contact information
Practice address
5451 N. UNIVERSITY DRIVE, SUITE 103, 5451 N. UNIVERSITY DRIVE, SUITE 103, CORAL SPRINGS, FL 33067-3333
(954) 274-0574
Mailing address
4054 TIMBER COVE LN, WESTON, FL 33332-2131
(954) 274-0574
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND12618
FL
133V00000X
Registered Dietitian
Primary
86109465
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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