Organization
PLANOS NUTRITION, INC
Active
Other names
Vive Nutrition, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES EDUARDO AYESTA HERRERA RD, LD (CEO)
(812) 604-0958
Entity
Organization
Contact information
Practice address
1205 N FRANKLIN ST STE 332, TAMPA, FL 33602-3313
(812) 604-0958
Mailing address
1205 N FRANKLIN ST STE 332, TAMPA, FL 33602-3313
(812) 604-0958
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6920
FL
Other
Enumeration date
02/23/2016
Last updated
04/11/2024
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