Organization
FOODSTUFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA KINDAL WOODRUFF RDN, LD (MANAGING OFFICER)
(770) 940-4013
Entity
Organization
Contact information
Practice address
495 GRAND BLVD, SUITE 206, MIRAMAR BEACH, FL 32550-1897
(770) 940-4013
(850) 361-3364
Mailing address
495 GRAND BLVD, SUITE 206, MIRAMAR BEACH, FL 32550-1897
(770) 940-4013
(850) 361-3364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7682
FL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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