Doctor Name: | LAURA VAZZO MCDEVITT |
NPI Number: | 1184901290 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED.,R.D.,LD/N |
License Number: | ND5548 |
Business Practice Address: | 428 Clearwater Dr Ponte Vedra Beach, FL - 320824170 |
Business Phone Number: | 9044691717 |
Business Fax Number: | |
Mailing Address: | 428 Clearwater Dr, PONTE VEDRA BEACH |
State: | FL |
Postal Code: | 320824170 |
Phone Number: | 9044691717 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2011 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND5548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |