Individual
JASON STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LDN
Contact information
Practice address
1400 NW 12TH AVENUE, MIAMI, FL 33136
(954) 594-3849
Mailing address
1400 NW 12TH AVENUE, MIAMI, FL 33136
(954) 594-3849
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4086
FL
Other
Enumeration date
12/24/2014
Last updated
02/09/2016
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