Healthcare Provider Details
I. General information
NPI: 1013233824
Provider Name (Legal Business Name): DIANA P BELL MS,RD,LD/N,CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/19/2010
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7500 SW 87TH AVE SUITE 200
MIAMI FL
33173-5426
US
IV. Provider business mailing address
7500 SW 87TH AVE SUITE 200
MIAMI FL
33173-5426
US
V. Phone/Fax
- Phone: 305-913-0666
- Fax: 305-913-0663
- Phone: 305-913-0666
- Fax: 305-913-0663
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133VN1006X |
| Taxonomy | Metabolic Nutrition Registered Dietitian |
| License Number | ND2458 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: