Susan Peacock in Lantana - Dietitian, Registered
Susan Peacock - NPI 1699816504
Susan Peacock is a Dietitian, Registered in Lantana, Florida. Susan Peacock practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Susan Peacock is 1699816504. The last update date is 2022-06-18.
Susan Peacock's current location address is 100 Waterway Dr S Apt 203, Lantana, Florida. You can contact this provider via phone number 5617581734 and fax number 5615405186. The mailing address for Susan Peacock is 100 Waterway Dr S Apt 203, Lantana, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Peacock |
|---|---|
| Address | 100 Waterway Dr S Apt 203, Lantana, Florida |
| Phone Number | 5617581734 |
| Fax Number | 5615405186 |
| Sole Proprietor | Y |
| Credentials | M.S.,R.D., |
NPI Number Detail
| NPI Number | 1699816504 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2022-06-18 |
Provider Mailing Address Detail
| Address | 100 Waterway Dr S Apt 203 |
|---|---|
| City | Lantana |
| State | Florida (FL) |
| Post Code | 334621827 |
| Phone Number | 5617581734 |
| Fax Number | 5615405186 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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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 |
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What is the unique 10-digit identifier code assigned to Susan Peacock by the Centers for Medicare & Medicaid Services?
The Susan Peacock has been issued the NPI (National Provider Identifier) 1699816504 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan Peacock?
The Susan Peacock is physically situated at 100 Waterway Dr S Apt 203, in the city of Lantana, state of FL, with the postal code 334621827.
What is Susan Peacock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Peacock's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
When was the Susan Peacock's 1699816504 issued?
The Susan Peacock's 1699816504 was issued on 2007-02-12.
When was the information related to Susan Peacock most recently updated or refreshed?
The details pertaining to the Susan Peacock, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-06-18.
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