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Organization

ELIDAN BIOACTIVE COMPOUNDS LLC

Active
Parent organization
ELIDAN DYNAMIC LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELIDAN DYNAMIC LLC
Authorized official
DR. LUIS CRUZ RODRIGUEZ PRESIDENT (CEO)
(813) 405-5107
Entity
Organization

Contact information

Practice address
8888 CYPRESS MANOR DR, TAMPA, FL 33647-3767
(786) 339-4515
Mailing address
8888 CYPRESS MANOR DR, TAMPA, FL 33647-3767
(786) 339-4515

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary

Other

Enumeration date
10/30/2025
Last updated
10/30/2025
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