Provider Demographics
NPI:1073822052
Name:DILUGLIO, BETH ELLEN (MS, RD, CCN, LD/N)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ELLEN
Last Name:DILUGLIO
Suffix:
Gender:F
Credentials:MS, RD, CCN, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 21ST ST SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-4606
Mailing Address - Country:US
Mailing Address - Phone:561-247-2384
Mailing Address - Fax:
Practice Address - Street 1:2260 21ST ST SW
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34117-4606
Practice Address - Country:US
Practice Address - Phone:561-247-2384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2046133V00000X, 133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered