Individual
MRS. AMY KOZELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5200 NE 2ND AVE, MIAMI, FL 33137-2706
(305) 751-8626
Mailing address
5200 NE 2ND AVE, MIAMI, FL 33137-2706
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86149750
—
FL
Enumeration date
03/27/2021
Last updated
03/27/2021
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