Doctor Name: | MRS. CARLY SICELOFF |
NPI Number: | 1679932131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LDN |
License Number: | 7232 |
Business Practice Address: | 8 S Osceola Ave Apt 2104 Orlando, FL - 328012825 |
Business Phone Number: | 4075381633 |
Business Fax Number: | |
Mailing Address: | 8 S Osceola Ave Apt 2104, ORLANDO |
State: | FL |
Postal Code: | 328012825 |
Phone Number: | 4075381633 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2016 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 7232 |
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 |