Organization
KRISTINE VAN WORKUM, RD, LDN, INC.
Active
Other names
Brevard Nutrition, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE ANN VAN WORKUM RD, LDN (PRESIDENT)
(443) 253-3170
Entity
Organization
Contact information
Practice address
107 N PALM AVE, INDIALANTIC, FL 32903-3131
(321) 327-7948
(321) 327-7914
Mailing address
514 VERACRUZ BLVD, INDIALANTIC, FL 32903-4728
(443) 253-3170
(321) 327-7914
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5470
FL
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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