Doctor Name: | JEFF NOVICK |
NPI Number: | 1952661167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D. |
License Number: | ND3329 |
Business Practice Address: | 399 E Sheridan St #210 Dania Beach, FL - 330045553 |
Business Phone Number: | 9547328828 |
Business Fax Number: | |
Mailing Address: | 399 E Sheridan St, #210 DANIA BEACH |
State: | FL |
Postal Code: | 330045553 |
Phone Number: | 9547328828 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND3329 |
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 |