Organization
NUTRI LIFESTYLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DOLORES BOHORQUEZ RD,LDN,CC (PRESIDENT)
(321) 948-2281
Entity
Organization
Contact information
Practice address
5759 PARKVIEW POINT DR, ORLANDO, FL 32821-7963
(407) 729-4349
Mailing address
5759 PARKVIEW POINT DR, ORLANDO, FL 32821-7963
(407) 729-4349
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
01/21/2019
Last updated
09/21/2021
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