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Individual

MS. SUSAN PEACOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.,R.D.,LDN

Contact information

Practice address
2240 W WOOLBRIGHT RD STE 305, BOYNTON BEACH, FL 33426-6363
(561) 758-1734
(561) 540-5186
Mailing address
100 WATERWAY DR S APT 203, LANTANA, FL 33462-1827
(561) 758-1734
(561) 540-5186

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3521
FL
133V00000X
Registered Dietitian

Other

Enumeration date
02/12/2007
Last updated
06/18/2022
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