Individual
MRS. TERRI L MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
5455 N FEDERAL HWY, SUITE B, BOCA RATON, FL 33487-4994
(561) 866-4517
(561) 852-7352
Mailing address
7237 SE SWAN AVE, HOBE SOUND, FL 33455-4529
(561) 866-4517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6299
FL
251S00000X
Community/Behavioral Health Agency
ND6299
FL
Other
Enumeration date
07/20/2012
Last updated
07/30/2019
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