Kelly Rashid Rd Llc | |
3070 Ne 43rd St, Fort Lauderdale, FL 33308-5806 | |
(610) 310-9581 | |
Not Available |
Full Name | Kelly Rashid Rd Llc |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 3070 Ne 43rd St, Fort Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316554918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Kelly Kugler Rashid |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760866958 PECOS PAC ID: 1951712546 Enrollment ID: I20201203001556 |
Mailing Address | Practice Location Address |
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Kelly Rashid Rd Llc 3070 Ne 43rd St, Fort Lauderdale, FL 33308-5806 Ph: (610) 310-9581 | Kelly Rashid Rd Llc 3070 Ne 43rd St, Fort Lauderdale, FL 33308-5806 Ph: (610) 310-9581 |
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