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STACI SHACTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD MS LDN

Contact information

Practice address
2320 NE 62ND ST, FT LAUDERDALE, FL 33308-2208
(954) 772-7552
Mailing address
3497 BARBADOS AVE, HOLLYWOOD, FL 33026-4653
(954) 290-9598

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5654
FL

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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