Individual
HOLLY PUDWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N, CEDRDS
Contact information
Practice address
1100 S ORLANDO AVE APT 201, MAITLAND, FL 32751-6464
(321) 200-0526
Mailing address
1100 S ORLANDO AVE APT 201, MAITLAND, FL 32751-6464
(321) 200-0526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5775
FL
Other
Enumeration date
10/14/2014
Last updated
08/15/2024
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