Individual
MRS. RAISA MERCEDES BASSART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSM, RD / LD
Contact information
Practice address
19590 OLD CUTLER RD, JM PERDUE MEDICAL CENTER, CUTLER BAY, FL 33157-8048
(786) 466-3500
(786) 466-3889
Mailing address
8620 SW 196TH ST, CUTLER BAY, FL 33157-8010
(305) 255-0960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3822
FL
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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