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Emerald Coast Diabetes & Nutrition Center
General Practice Physician in Fort Walton Beach, Florida
NPI 1700307550

Emerald Coast Diabetes & Nutrition Center is a General Practice Physician based in Fort Walton Beach, FL. Emerald Coast Diabetes & Nutrition Center practices in Fort Walton Beach, FL. The NPI Number for Emerald Coast Diabetes & Nutrition Center is 1700307550 and holds a License No. ND3885 (Florida).

The current practice location address for Emerald Coast Diabetes & Nutrition Center is 115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, FL and can be reached out via phone at 850-374-7604 and via fax at 850-792-2545.

Location: 115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, FL, 32548-5976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700307550
Provider Name
Emerald Coast Diabetes & Nutrition Center
Credential
Provider Entity Type
Organization
Address
115 Miracle Strip Pkwy Se Unit 101, Fort Walton Beach, FL, 32548-5976
Phone Number
850-374-7604
Fax Number
850-792-2545
Provider Enumeration Date
07/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1J0TM 01 FL BCBS
ND3885 01 FL FLORIDA LICENSE
institution
Provider Business Practice Location Address Details
Address
115 Miracle Strip Pkwy Se Unit 101
City
Fort Walton Beach
State
Florida
Zip
32548-5976
Phone Number
850-374-7604
Fax Number
850-792-2545
person
Provider Business Mailing Address Details
Address
115 Miracle Strip Pkwy Se Unit 101
City
Fort Walton Beach
State
Florida
Zip
32548-5976
Phone Number
850-374-7604
Fax Number
850-792-2545
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
()
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ND3885 (Florida)
Definition
Definition to come...
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