Provider Demographics
NPI:1144926023
Name:CLEVELAND, ALLISON (LD, RD)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:LD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4332 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5718
Mailing Address - Country:US
Mailing Address - Phone:561-965-2500
Mailing Address - Fax:561-965-0708
Practice Address - Street 1:4332 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5718
Practice Address - Country:US
Practice Address - Phone:561-965-2500
Practice Address - Fax:561-965-0708
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND3722133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered