Marilyn S Gordon LD/N

NPI 1679751556 - Nutritionist - 133N00000X

NPI Details
NPI 1679751556
Gender Female
Enumeration Date 02/04/2008
Last Updated 02/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3200 S UNIVERSITY DR
DAVIE FL, 33328-2018, US
Phone (954) 262-4055
Fax (954) 262-3815
Business Location
3200 S UNIVERSITY DR
ASSEMBLY BLDG. # 2 ROOM 202
DAVIE FL, 33328-2018, US
Phone (954) 262-4343
Fax (954) 262-2269
Toxanomy
Taxonomy Code 133N00000X
License State Florida
License Number ND243
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According to our database, Marilyn S Gordon LD/N NPI is 1679751556, taxonomy code is 133N00000X and license number is ND243, license state is located at Florida. Marilyn S Gordon LD/N physically located at 3200 S University Dr, Davie FL, 33328-2018. NPI Number Marilyn S Gordon LD/N has the Individual type.

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1679751556 NPI number is provided on an as is basis without warranty of any kind. 1679751556 is maintained by the National Plan & Provider Enumeration System. The contents of Marilyn S Gordon LD/N are for informational purposes only.