Dickerson, Mark

Dickerson, Mark is an sole proprietor health care provider with primary practice located at 1201 Nw 16Th St , Miami FL 33125-1624. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Dickerson, Mark can be contacted via phone (305) 575-3252.

Contact Information

Primary practice address
1201 Nw 16Th St Miami FL 33125-1624
Phone: (305) 575-3252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND4449 Florida

Profile Details

NPI number 1184634461
LBN Legal business name Dickerson, Mark
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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