Dietitians of Palm Valley
NPI #1215572854 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1215572854
- Entity Type
- Organization
- Organization Name
- Dietitians of Palm Valley
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Nov 7, 2019
- Last Updated
- Nov 7, 2019
Practice Location
- Address
- 230 CANAL BLVD STE 2
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-3745
- Phone
- (904) 250-0075
Authorized Official
- Name
- SAMANTHA ELISE PREVITE, RD
- Title
- CO-OWNER
- Phone
- (724) 816-5561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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