Individual
DONNA DECUNZO-TADDEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 NE 46TH ST, LIGHTHOUSE POINT, FL 33064-7258
(954) 562-7767
(954) 786-1742
Mailing address
2521 NE 46TH ST, LIGHTHOUSE POINT, FL 33064-7258
(954) 562-7767
(954) 786-1742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2352
FL
Other
Enumeration date
01/13/2016
Last updated
02/29/2016
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