Provider Demographics
NPI:1851280598
Name:SLOAN, CHRISTOPHER (NUTRITIONIST)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SLOAN
Suffix:
Gender:M
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3726 S PACIFIC BREEZE CIR APT 108
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-2284
Mailing Address - Country:US
Mailing Address - Phone:404-630-3827
Mailing Address - Fax:
Practice Address - Street 1:3726 S PACIFIC BREEZE CIR APT 108
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-2284
Practice Address - Country:US
Practice Address - Phone:404-630-3827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist