Individual
ALEX CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 419-2542
Mailing address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86015061
FL
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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