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NPI Code Detail

MEDICARE: YANETH P BELTRAN RD/LDN

MEDICARE:   YANETH P BELTRAN  RD/LDN
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
1133V00000XRegistered Dietitian7980FL

General Provider Information

NPI Number : 1457800567
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANETH P BELTRAN RD/LDN
Provider Business Mailing Address
First Line : 8240 NW 40TH ST
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-2926
Country : US
Telephone Number : 954-227-0768
Fax Number :
Provider Business Practice Location Address
First Line : 8240 NW 40TH ST
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-2926
Country : US
Telephone Number : 954-227-0768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2016
Last Update Date : 09/30/2016

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Directions to “ YANETH P BELTRAN RD/LDN” Practice Location

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