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NPI Code Detail

MEDICARE: SFL NUTRITION LLC

MEDICARE: SFL NUTRITION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133N00000XNutritionist
2133NN1002XNutrition Education Nutritionist
3133VN1004XPediatric Nutrition Registered Dietitian
4133VN1005XRenal Nutrition Registered Dietitian
5133VN1006XMetabolic Nutrition Registered Dietitian
6133VN1101XGerontological Nutrition Registered Dietitian
7133VN1201XObesity and Weight Management Nutrition Registered Dietitian
8133VN1301XOncology Nutrition Registered Dietitian
9133VN1401XPediatric Critical Care Nutrition Registered Dietitian
10133VN1501XSports Dietetics Nutrition Registered Dietitian
11133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1407402027
Entity Type Code : Organization
Provider Name (Legal Business Name) : SFL NUTRITION LLC
Provider Business Mailing Address
First Line : 1150 NW 72ND AVE STE 455
Second Line :
City : MIAMI
State : FL
Zip : 33126-1947
Country : US
Telephone Number : 561-945-2926
Fax Number :
Provider Business Practice Location Address
First Line : 2408 ASPEN WAY
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-6612
Country : US
Telephone Number : 561-945-2926
Fax Number :
Authorized Official
Title or Position : CO-OWNER/RD
Name : KENNETH LEO SNYDER
Credential :
Telephone Number : 561-945-2926
Provider Enumeration Date : 08/11/2019
Last Update Date : 08/16/2023

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Directions to “SFL NUTRITION LLC ” Practice Location

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