Organization
PROACTIVE NUTRITION & FITNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY E BROWN R.D,L.D N (LICENSED DIETITIAN)
(352) 258-8220
Entity
Organization
Contact information
Practice address
2106 SW 39TH DR, GAINESVILLE, FL 32607-4346
(352) 258-8220
Mailing address
2106 SW 39TH DR, GAINESVILLE, FL 32607-4346
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4570
FL
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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