Provider Demographics
NPI:1043470032
Name:CAGGIANI, CHRISTIE S (RD, LD/N)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:S
Last Name:CAGGIANI
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7669 CEDAR HURST CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7881
Mailing Address - Country:US
Mailing Address - Phone:561-392-2262
Mailing Address - Fax:561-968-5752
Practice Address - Street 1:72 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5427
Practice Address - Country:US
Practice Address - Phone:561-392-2262
Practice Address - Fax:561-968-5752
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2610133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered