Individual
CAMILLA AMY MIRKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
18331 PINES BLVD STE 254, PEMBROKE PINES, FL 33029-1421
(954) 866-3418
Mailing address
18331 PINES BLVD STE 254, PEMBROKE PINES, FL 33029-1421
(954) 866-3418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND13655
FL
Other
Enumeration date
10/07/2024
Last updated
10/31/2024
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