Healthcare Provider Details

I. General information

NPI: 1255581963
Provider Name (Legal Business Name): BETH S ZIPPER R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH SUSAN BERMAN R.D.

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5365 W ATLANTIC AVE SUITE 504
DELRAY BEACH FL
33484-8172
US

IV. Provider business mailing address

951 BROKEN SOUND PKWY NW SUITE 225
BOCA RATON FL
33487-3507
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-6300
  • Fax: 561-495-8877
Mailing address:
  • Phone: 561-241-9300
  • Fax: 561-372-0214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND5339
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: