Provider Demographics
NPI:1144655994
Name:ZOLAK, BRIANA (HOLISTIC NUTRITION)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:ZOLAK
Suffix:
Gender:F
Credentials:HOLISTIC NUTRITION
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:MICHEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:20134 HERITAGE POINT DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:412-335-3144
Mailing Address - Fax:
Practice Address - Street 1:20134 HERITAGE POINT DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3341
Practice Address - Country:US
Practice Address - Phone:412-335-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education