South Florida Nutrition Consultants LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

ND902 Issued in FL

Legal business name

SOUTH FLORIDA NUTRITION CONSULTANTS LLC

Practice address

18004 NW 6TH St Ste 104
Pembroke Pines, FL 33029-2823

Phone

(954) 885-1024

NPI assigned

May 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Annmarie Duggan, MS,RDNPI 1306343850

Title

Manager

Phone

(954) 263-8954

Specialties & licenses 1

Addresses

Other names 1

• Annmarie Duggan Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annmarie Duggan, MS,RD

  • Renal Nutrition Registered Dietitian
  • Pembroke Pines, FL
  • NPI 1306343850

  Nutrition, Renal

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525478400000",
    "number": "1003305053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 NW 34TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091227",
            "telephone_number": "954-263-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18004 NW 6TH ST STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292823",
            "telephone_number": "954-885-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NUTRITION CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-05",
        "last_updated": "2018-05-05",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-263-8954",
        "authorized_official_credential": "MS,RD"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annmarie Duggan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Renal Nutrition Registered Dietitian in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Renal Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.