Healthcare Provider Details

I. General information

NPI: 1316055098
Provider Name (Legal Business Name): CHRISTINE BANDY & ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 ALTERNATE A1A SUITE 108
PALM BEACH GARDENS FL
33410
US

IV. Provider business mailing address

12300 ALTERNATE A1A SUITE 108
PALM BEACH GARDENS FL
33410
US

V. Phone/Fax

Practice location:
  • Phone: 561-371-8401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINE BANDY E BANDY
Title or Position: PRESIDENT
Credential: MS,RD,LD/N,CDE
Phone: 561-371-8401