Organization
EXPERT NUTRITION & FITNESS LLC
Active
Other names
Julia L Cairns-Migone Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON M MITCHELL (BILLING MANAGER)
(772) 879-8700
Entity
Organization
Contact information
Practice address
10050 SW INNOVATION WAY, SUITE 201, PORT ST LUCIE, FL 34987-2117
(772) 879-8700
Mailing address
3896 SW HALE ST, PORT ST LUCIE, FL 34953-4041
(772) 418-3298
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND7611
LICENSE NUMBER
FL
Enumeration date
03/21/2017
Last updated
03/21/2017
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