Individual
SUZETTE MARIA DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, MS, RDN, FAND
Contact information
Practice address
119 ROSEWOOD LN, GREENACRES, FL 33463-3063
(561) 714-1540
Mailing address
119 ROSEWOOD LN, GREENACRES, FL 33463-3063
(561) 714-1540
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
2940
FL
133N00000X
Nutritionist
01061
RI
133NN1002X
Nutrition Education Nutritionist
2940
FL
133V00000X
Registered Dietitian
Primary
2940
FL
133VN1004X
Pediatric Nutrition Registered Dietitian
2940
FL
133VN1005X
Renal Nutrition Registered Dietitian
2940
FL
133VN1101X
Gerontological Nutrition Registered Dietitian
2940
FL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
01061
RI
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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