JEANETTE POILLUCCI


Address: 3700 Nw 88th Ave, 102, Sunrise, FL 33351-6556
Phone: 9548177508

JEANETTE POILLUCCI (NPI# 1245500933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245500933
Entity Type Individual
Full Name JEANETTE POILLUCCI
Credential RD, LD/N
Practice Address 3700 Nw 88th Ave
102
Sunrise
FL 33351-6556
Practice Telephone 9548177508
Mailing Telephone 9548177508
Enumeration Date 2012-01-11
Last Update Date 2012-01-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
ND4784 FL Dietary & Nutritional Service Providers

Office Location

Street Address 3700 NW 88TH AVE
102
City SUNRISE
State FL
Zip Code 33351-6556

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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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1659905016 Erika Cook Dietitian, Registered 7 Sea Oaks Dr, St Augustine, FL 32080-7914 2020-02-25
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1710297452 Susan Lynn Bottiglieri Dietitian, Registered 6641 Current Dr, Apollo Beach, FL 33572-1544 2010-10-15
1609189059 John Dodd Dietitian, Registered 123 Sandcastle Dr, Ormond Beach, FL 32176-4156 2010-07-14
1548588627 Cesiah Rojas Dietitian, Registered 11809 Sw 103rd Ln, Miami, FL 33186-8541 2010-05-13
1992020705 Susan Marie Meese-morris Dietitian, Registered 333 Nw 70th Ave Ste 107, Plantation, FL 33317-2358 2010-04-05
1841426350 Anne Rebecca Hetrick Dietitian, Registered 508 Manatee Ave. East, Kidney Disease Consultants, Bradenton, FL 34208-1146 2009-06-10
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Competitor

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City SUNRISE
Zip Code 33351

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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