| Meryl Brandwein Nutrition | |
|
916 Gulfstream Ct Weston FL 33327-2139 | |
| (954) 727-9006 | |
| (954) 389-2113 |
| Full Name | Meryl Brandwein Nutrition |
|---|---|
| Speciality | Clinic/center |
| Location | 916 Gulfstream Ct, Weston, Florida |
| Authorized Official Name and Position | Meryl R Brandwein (OWNER) |
| Authorized Official Contact | 9547279006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meryl Brandwein Nutrition 916 Gulfstream Ct Weston FL 33327-2139 Ph: (954) 727-9006 | Meryl Brandwein Nutrition 916 Gulfstream Ct Weston FL 33327-2139 Ph: (954) 727-9006 |
| NPI Number | 1518216316 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 03/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518216316 | NPI | - | NPPES |
| 10652329 | Other | FL | CAQM |
| 721024 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 721024 (Florida) | Primary |
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