Provider Demographics
NPI:1346865292
Name:SAVING FACE OF CENTRAL FL INC
Entity Type:Organization
Organization Name:SAVING FACE OF CENTRAL FL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFRA
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:407-408-9889
Mailing Address - Street 1:1620 GULFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-6374
Mailing Address - Country:US
Mailing Address - Phone:407-408-9889
Mailing Address - Fax:
Practice Address - Street 1:1620 GULFVIEW DR
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6374
Practice Address - Country:US
Practice Address - Phone:407-408-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAVING FACE OF CENTRAL FL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1477176808OtherNPI