Healthcare Provider Details

I. General information

NPI: 1902789126
Provider Name (Legal Business Name): KAROLINA ZUZANNA SNITA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6877 COLLEGE CT APT 201
DAVIE FL
33317-7164
US

IV. Provider business mailing address

6877 COLLEGE CT APT 201
DAVIE FL
33317-7164
US

V. Phone/Fax

Practice location:
  • Phone: 318-789-6783
  • Fax:
Mailing address:
  • Phone: 318-789-6783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND14402
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: