Mary Cynthia Liebler in Daytona Beach - Dietitian, Registered

Mary Cynthia Liebler - NPI 1316025125

Mary Cynthia Liebler is a Dietitian, Registered in Daytona Beach, Florida. Mary Cynthia Liebler practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Cynthia Liebler is 1316025125. The last update date is 2007-07-08.

Mary Cynthia Liebler's current location address is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862544165. The mailing address for Mary Cynthia Liebler is 303 N Clyde Morris Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Cynthia Liebler
Address 303 N Clyde Morris Blvd, Daytona Beach, Florida
Phone Number 3862544165
Fax Number
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1316025125
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 303 N Clyde Morris Blvd
City Daytona Beach
State Florida (FL)
Post Code 321142709
Phone Number 3862544165
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No ND651
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ND651 FL STATE LICENSE NUMBER

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FAQs about Mary Cynthia Liebler

What is the unique identifier code issued to Mary Cynthia Liebler by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Cynthia Liebler has been assigned the NPI (National Provider Identifier) 1316025125. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Mary Cynthia Liebler?

The Mary Cynthia Liebler is physically situated at 303 N Clyde Morris Blvd, in the city of Daytona Beach, state of FL, with the postal code 321142709.

What is the Mary Cynthia Liebler's area of specialization and corresponding taxonomy classification?

The Mary Cynthia Liebler's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1316025125 to Mary Cynthia Liebler?

The Mary Cynthia Liebler received its 1316025125 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the details pertaining to Mary Cynthia Liebler last refreshed?

The information related to the Mary Cynthia Liebler, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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