Petusevsky, Wendy Susan

Petusevsky, Wendy Susan is an individual health care provider with primary practice located at 4725 N Federal Hwy Nutrition Services Department, Ft Lauderdale FL 33308-4603. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Petusevsky, Wendy Susan can be contacted via phone (954) 771-8000.

Contact Information

Primary practice address
4725 N Federal Hwy Nutrition Services Department Ft Lauderdale FL 33308-4603
Phone: (954) 771-8000
Fax: (954) 776-3266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND 4082 Florida

Profile Details

NPI number 1285078063
LBN Legal business name Petusevsky, Wendy Susan
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2013
Last updated Apr 23rd, 2013 - about 11 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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