Foodstuff
NPI #1558725630 in Miramar Beach, Florida
Provider Information
- NPI Number
- 1558725630
- Entity Type
- Organization
- Organization Name
- Foodstuff
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 5, 2016
- Last Updated
- Apr 5, 2016
Practice Location
- Address
- 495 GRAND BLVD
- Address 2
- SUITE 206
- City
- Miramar Beach
- State
- Florida
- ZIP Code
- 32550-1897
- Phone
- (770) 940-4013
Authorized Official
- Name
- MS. ROBERTA KINDAL WOODRUFF, RDN, LD
- Title
- MANAGING OFFICER
- Phone
- (770) 940-4013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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