Organization
NUTRITION COACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE KORITZ MS RD LDN (PRESIDENT)
(561) 289-7215
Entity
Organization
Contact information
Practice address
100 E LINTON BLVD, SUITE 304B, DELRAY BEACH, FL 33483-3327
(561) 289-7215
(561) 210-1374
Mailing address
100 E LINTON BLVD, SUITE 304B, DELRAY BEACH, FL 33483-3327
(561) 289-7215
(561) 210-1374
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ND5063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699945386
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/13/2008
Last updated
08/08/2016
Update your record
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