Organization
NUBALI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AIDSA RODRIGUEZ RD (MANAGER)
(321) 689-8226
Entity
Organization
Contact information
Practice address
12440 LAKE VIEW LN, CLERMONT, FL 34711-8555
(321) 689-8226
Mailing address
12440 LAKE VIEW LN, CLERMONT, FL 34711-8555
(321) 689-8226
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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