Whalio Doctors

NPI 1770807455

Rd4u INC

Organisation Registered Dietetic Technician Jensen Beach, FL

Practice location

Address
2329 NE 18th CT, Jensen Beach, FL 34957-5125
Phone
(954) 292-5625
Fax
(772) 334-8781

Authorised official

Name
Adam Keith Lax
Title
President
Phone
(954) 292-5625

Registered specialties

Registered Dietetic Technician Primary
Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence ND2293 (FL)

Registry record

NPI
1770807455
Entity type
Organization
NPI issued
24 Mar 2010
Record last updated
24 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.