| Doctor Name: | PATTI MARTIN DEAN |
| NPI Number: | 1134353006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD, MBA |
| License Number: | ND550 |
| Business Practice Address: | 7458 Fleming Island Dr Fleming Island, FL - 320039338 |
| Business Phone Number: | 9042843766 |
| Business Fax Number: | |
| Mailing Address: | 7458 Fleming Island Dr, FLEMING ISLAND |
| State: | FL |
| Postal Code: | 320039338 |
| Phone Number: | 9042843766 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2009 |
| NPI Last Update Date: | 05/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | ND550 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |