Back In Balance Nutrition LLC
Dietitian, Registered in Largo, FL. Organization (NPI-2).
NPI number1689340887
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1689340887
- Entity type
- Organization (NPI-2)
- Legal business name
- Back In Balance Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2021
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Bodypure Functional Nutrition (Doing Business As)
Practice location
801 W Bay Dr Ste 236Largo, FL 33770-3269
Phone 865-748-8036 · Fax 727-261-0208
Mailing address
801 W Bay Dr Ste 236Largo, FL 33770-3269
Phone 727-300-9316 · Fax 727-261-0208
Authorized official
Lindsay Michelle Allen
Registered Dietitian And Owner
8657488036
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