Individual
MRS. NATALIA JENNIFER VACCARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6245 N FEDERAL HWY # 419, FORT LAUDERDALE, FL 33308-1998
(954) 774-7800
Mailing address
1120 SE 22ND AVE, POMPANO BEACH, FL 33062-7046
(954) 774-7800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8346
FL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
ND8346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1550668
CAQH PROVIDER ID #
FL
Enumeration date
02/05/2022
Last updated
03/08/2022
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