Organization
RD4U INC
Active
Organization
RD4U INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM KEITH LAX RD (PRESIDENT)
(954) 292-5625
Entity
Organization
Contact information
Practice address
2329 NE 18TH CT, JENSEN BEACH, FL 34957-5125
(954) 292-5625
(772) 334-8781
Mailing address
2329 NE 18TH CT, JENSEN BEACH, FL 34957-5125
(954) 292-5625
(772) 334-8781
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
ND2293
FL
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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