Individual
JAYA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1101 NW 1 STREET, FORT LAUDERDALE, FL 33311-8905
(954) 467-0880
(954) 525-2030
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 467-0880
(954) 525-2030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 1330
FL
Other
Enumeration date
07/27/2010
Last updated
07/26/2022
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