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CSR NUTRITION NPI 1417564295


NPI Information

NPI: 1417564295
Provider Name: CSR NUTRITION
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
129 HARBOR LAKE CIR
GREENACRES, FL
ZIP 33413
Phone: (201) 844-0342
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CSR NUTRITION is a health service clinic center in Greenacres, FL. CSR NUTRITION NPI is 1417564295. The provider is registered as an organization entity type.

The provider's business location address is:

129 HARBOR LAKE CIR
GREENACRES, FL
ZIP 33413-125
Phone: (201) 844-0342

The provider's authorized official is Christina S Raphael .
The authorized official title is Owner/ Sole Proprietor and has the following contact phone number (201) 844-0342.

The enumeration date for this NPI number is 9/25/2020 and was last updated on 9/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.