Kopelakis, Diane
Kopelakis, Diane is an individual health care provider with primary practice located at 7825 Nautique Ct , Lake Worth FL 33467-7791. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Kopelakis, Diane can be contacted via phone (561) 436-6617.Contact Information
Primary practice address
7825 Nautique Ct
Lake Worth FL 33467-7791
Phone: (561) 436-6617
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ND3420 | Florida |
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | ND3420 | Florida |
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ND3420 | Florida |
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ND3420 | Florida |
Profile Details
NPI number | 1093420325 |
---|---|
LBN Legal business name | Kopelakis, Diane |
Credentials | RD LD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2023 |
Last updated | Jan 20th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093420325 | NPPES |
Other | 21000164980 | USED LLC DOC # BC HAVE NO OTHER # |
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