Organization
FUEL. NUTRITION CONULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LORI MOORE R.D. (OWNER/OPERATOR)
(850) 694-3322
Entity
Organization
Contact information
Practice address
1114 THOMASVILLE RD STE G, TALLAHASSEE, FL 32303-6273
(850) 694-3322
(850) 298-1131
Mailing address
1114 THOMASVILLE RD STE G, TALLAHASSEE, FL 32303-6273
(850) 694-3322
(850) 298-1131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ND4473
FL
Other
Enumeration date
10/13/2014
Last updated
12/23/2014
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