Provider Demographics
NPI:1538882428
Name:CENTER FOR NUTRITION CARE, INC.
Entity type:Organization
Organization Name:CENTER FOR NUTRITION CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DWOSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD LDN
Authorized Official - Phone:813-869-5794
Mailing Address - Street 1:4522 W VILLAGE DR # 233
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-3429
Mailing Address - Country:US
Mailing Address - Phone:813-869-5794
Mailing Address - Fax:
Practice Address - Street 1:13531 LAKE MAGDALENE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4100
Practice Address - Country:US
Practice Address - Phone:813-869-5794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty