| Doctor Name: | ANNE ELIZABETH CARLSON |
| NPI Number: | 1285763722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | ND 2586 |
| Business Practice Address: | 4680 Lipscomb St Ne Suite 5-h Palm Bay, FL - 329052984 |
| Business Phone Number: | 3216760255 |
| Business Fax Number: | 3217288610 |
| Mailing Address: | 4680 Lipscomb St Ne, Suite 5-h PALM BAY |
| State: | FL |
| Postal Code: | 329052984 |
| Phone Number: | 3216760255 |
| Fax Number: | 3217288610 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | ND 2586 |
| 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 |