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Individual

JOSEPH VACCARELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
6245 N FEDERAL HWY # 419, FORT LAUDERDALE, FL 33308-1998
(954) 774-7800
Mailing address
1120 SE 22ND AVE, POMPANO BEACH, FL 33062-7046
(954) 512-0726

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7045
FL

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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