Organization
BLO 7 DIABETES INSTITUTE INC
Active
Parent organization
SPRX PHARMACY SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRX PHARMACY SERVICES INC
Authorized official
VANDANA SHAH (CEO)
(772) 486-3812
Entity
Organization
Contact information
Practice address
1700 SW HILLMOOR DR., SUITE 305, PORT ST. LUCIE, FL 34952
(772) 486-3812
Mailing address
9858 CLINT MOORE RD STE C111-131, BOCA RATON, FL 33496-1034
(772) 486-3812
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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