Healthcare Provider Details

I. General information

NPI: 1700143732
Provider Name (Legal Business Name): ADRIAN HUSBANDS MS, RD, CDN, CDCES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 08/25/2024
Certification Date: 08/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9151 NW 17TH ST
PLANTATION FL
33322-4338
US

IV. Provider business mailing address

9151 NW 17TH ST
PLANTATION FL
33322-4338
US

V. Phone/Fax

Practice location:
  • Phone: 267-971-3978
  • Fax:
Mailing address:
  • Phone: 267-971-3978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: