Provider Demographics
NPI:1235349952
Name:MICHAUX, MARIA-A S (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:MARIA-A
Middle Name:S
Last Name:MICHAUX
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 HOPE VALLEY ST.
Mailing Address - Street 2:#305
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:716-812-1964
Mailing Address - Fax:
Practice Address - Street 1:10117 HUNT CLUB LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4568
Practice Address - Country:US
Practice Address - Phone:561-329-8683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4659133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered