Individual
DMITRIY NOVIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD/N
Contact information
Practice address
2711 N HIGHWAY A1A UNIT D, HUTCHINSON ISLAND, FL 34949-1569
(305) 788-1714
(772) 402-3462
Mailing address
2711 N HIGHWAY A1A UNIT D, HUTCHINSON ISLAND, FL 34949-1569
(305) 788-1714
(772) 402-3462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8796
FL
Other
Enumeration date
03/15/2022
Last updated
04/30/2024
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