Individual
CAROL A CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3855 S. US HIGHWAY 1, SUITE B, FORT PIERCE, FL 34982
(772) 344-2541
(772) 344-2544
Mailing address
5150 NORTHWEST MILNER DRIVE, PORT ST LUCIE, FL 34983
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1513
FL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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