Organization
BACK IN BALANCE NUTRITION LLC
Active
Other names
BodyPure Functional Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY MICHELLE ALLEN RD (REGISTERED DIETITIAN AND OWNER)
(865) 748-8036
Entity
Organization
Contact information
Practice address
801 W BAY DR STE 236, LARGO, FL 33770-3269
(865) 748-8036
(727) 261-0208
Mailing address
801 W BAY DR STE 236, LARGO, FL 33770-3269
(727) 300-9316
(727) 261-0208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
03/21/2025
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