Doctor Name: | KIMBERLY A MARIN |
NPI Number: | 1255501755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AP, RD |
License Number: | ND3274 |
Business Practice Address: | 12651 W Sunrise Blvd #202 Sunrise, FL - 333230906 |
Business Phone Number: | 9548352345 |
Business Fax Number: | 9548389192 |
Mailing Address: | 12651 W Sunrise Blvd, #202 SUNRISE |
State: | FL |
Postal Code: | 333230906 |
Phone Number: | 9548352345 |
Fax Number: | 9548389192 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND3274 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |