Provider Demographics
NPI:1164860474
Name:EDELMAN, CATHERINE FRANCES (MS,RD,LD/N,CDE)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:FRANCES
Last Name:EDELMAN
Suffix:
Gender:F
Credentials:MS,RD,LD/N,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7124 BERACASA WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3448
Mailing Address - Country:US
Mailing Address - Phone:561-750-7774
Mailing Address - Fax:561-392-3200
Practice Address - Street 1:7124 BERACASA WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3448
Practice Address - Country:US
Practice Address - Phone:561-750-7774
Practice Address - Fax:561-392-3200
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-08
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2601133NN1002X, 133V00000X, 133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic