Organization · NPI-2
3 In 1 Nutrition LLC
Clinic/Center · St Petersburg, FL
NPI number1033704259
StatusActive
Last updated in NPPESMar 9, 2021
Details
- NPI
- 1033704259
- Entity type
- Organization (NPI-2)
- Legal business name
- 3 In 1 Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2021
- Certification date
- Mar 9, 2021
- Last updated
- Mar 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- 3 In 1 Nutrition (Doing Business As)
Practice location
7901 4th St N Ste 4000St Petersburg, FL 33702-4305
Phone 813-693-2182
Mailing address
7901 4th St N Ste 4000St Petersburg, FL 33702-4305
Phone 813-693-2182
Authorized official
Ciara Dove
Ceo/ Founder
9045109060
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