Organization
MERYL BRANDWEIN NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERYL R BRANDWEIN RD/LDN (OWNER)
(954) 727-9006
Entity
Organization
Contact information
Practice address
916 GULFSTREAM CT, WESTON, FL 33327-2139
(954) 727-9006
(954) 389-2113
Mailing address
916 GULFSTREAM CT, WESTON, FL 33327-2139
(954) 727-9006
(954) 389-2113
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
721024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10652329
CAQM
FL
01
—
721024
LICENSE
FL
Enumeration date
09/07/2012
Last updated
03/01/2013
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