Provider Demographics
NPI:1033437173
Name:GAUCI, KAREN M (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:GAUCI
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10111 UMBERLAND PL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4233
Mailing Address - Country:US
Mailing Address - Phone:561-451-2001
Mailing Address - Fax:561-451-9920
Practice Address - Street 1:10111 UMBERLAND PL
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4233
Practice Address - Country:US
Practice Address - Phone:561-451-2001
Practice Address - Fax:561-451-9920
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2162133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered