NPI 1356646343

Jennifer Diane Southard, ND

Practitioner Naturopath Indialantic, FL

Practice location

Address: 105 S Riverside Dr Suite 131, Indialantic, FL 32903-4365
Phone: (321) 409-0044
Fax: (321) 409-0099

Registered specialties

Naturopath Primary

Other Service Providers Taxonomy 175F00000X Licence 099.0074287 (VT)

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Registry record

NPI: 1356646343
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2011
Record last updated: 21 Jan 2011

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.