Doctor Name: | MS. SANDRA DEMEZZO |
NPI Number: | 1386693042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | ND 1859 |
Business Practice Address: | 452 Cody Ave Suite 127 A Hurlburt Field, FL - 325445417 |
Business Phone Number: | 8508844292 |
Business Fax Number: | 8508846321 |
Mailing Address: | 113 Lielmanis Ave, 16 Mdos/sgoaz HURLBURT FIELD |
State: | FL |
Postal Code: | 325445613 |
Phone Number: | 8506222010 |
Fax Number: | 8508846321 |
NPI Enumeration Date: | 05/09/2006 |
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 1859 |
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 |