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Individual

JAY PATRUNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDN, LDN, CPT, CNC

Contact information

Practice address
777 GLADES RD # SW8W240, BOCA RATON, FL 33431-6496
(561) 297-3512
Mailing address
1625 N CONGRESS AVE APT 325, WEST PALM BEACH, FL 33401-1731
(413) 388-3563

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
13288465-4901
UT
133V00000X
Registered Dietitian
LDN4915
MA
133V00000X
Registered Dietitian
Primary
ND12408
FL

Other

Enumeration date
08/31/2020
Last updated
10/10/2023
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