Peacock, Susan
Peacock, Susan is an sole proprietor health care provider with primary practice located at 2240 W Woolbright Rd Ste 305 , Boynton Beach FL 33426-6363. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Peacock, Susan can be contacted via phone (561) 758-1734.Contact Information
Primary practice address
2240 W Woolbright Rd Ste 305
Boynton Beach FL 33426-6363
Phone: (561) 758-1734
Fax: (561) 540-5186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ND3521 | Florida |
Profile Details
| NPI number | 1699816504 |
|---|---|
| LBN Legal business name | Peacock, Susan |
| Credentials | M.S.,R.D.,LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jun 18th, 2022 - about 3 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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