Organization
DYNAMIC NUTRITION AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA WYATT (MANAGER/MEMBER)
(954) 366-2490
Entity
Organization
Contact information
Practice address
1700 N DIXIE HWY, STE 129, BOCA RATON, FL 33432-1850
(954) 366-2490
Mailing address
1700 N DIXIE HWY, STE 129, BOCA RATON, FL 33432-1850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6066
FL
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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