NPI 1104384890

Stephanie Tazi-Sidqui

Practitioner Nutritionist Miami, FL

Practice location

Address: 9740 SW 40th St, Miami, FL 33165-4080
Phone: (305) 662-5200

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence ND4008 (FL)

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Registry record

NPI: 1104384890
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2019
Record last updated: 12 Mar 2019

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.