MEDICARE: KERRI N LOUATI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist	ND5878	FL
2	133V00000X	Registered Dietitian	ND5878	FL

General Provider Information

NPI Number	:	1447555388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI N LOUATI

Provider Business Mailing Address
First Line	:	825 SE 6TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-3410
Country	:	US
Telephone Number	:	954-649-1162
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 SE 6TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-3410
Country	:	US
Telephone Number	:	954-649-1162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2011
Last Update Date	:	03/01/2021

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Directions to “ KERRI N LOUATI ” Practice Location

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