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Individual

FLORE DIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22482 SW 56TH AVE, BOCA RATON, FL 33433-4604
(561) 843-1982
Mailing address
22482 SW 56TH AVE, BOCA RATON, FL 33433-4604
(561) 843-1982

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
133NN1002X
Nutrition Education Nutritionist
171M00000X
Case Manager/Care Coordinator
171R00000X
Interpreter
174H00000X
Health Educator
Primary
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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