Doctor Name: | KATHERINE M RADAKOVICH |
NPI Number: | 1043330798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 857942 |
Business Practice Address: | 1210 E Plant St Suite 1200 Winter Garden, FL - 347872996 |
Business Phone Number: | 4079058827 |
Business Fax Number: | 4076544079 |
Mailing Address: | 110 S Woodland St, WINTER GARDEN |
State: | FL |
Postal Code: | 347873546 |
Phone Number: | 4079058827 |
Fax Number: | 4076544079 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 857942 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |