NPI 1114242781

Leslie Marie Anderson, LDNRD

Practitioner Registered Dietitian Fort Walton Beach, FL

Practice location

Address: 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707
Phone: (850) 863-6600
Mailing address: 1005 Mar Walt Drive, Fort Walton Beach, FL 32547-6707

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence ND9301 (FL)

Other Dietitian, Registered providers in Florida →

Registry record

NPI: 1114242781
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2010
Record last updated: 10 Dec 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.