Provider Demographics
NPI:1356231195
Name:DELICIOUS NUTRITION LLC
Entity type:Organization
Organization Name:DELICIOUS NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHOSHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITZKER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:407-808-6059
Mailing Address - Street 1:2411 CHINOOK TRL
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4077
Mailing Address - Country:US
Mailing Address - Phone:407-808-6059
Mailing Address - Fax:
Practice Address - Street 1:2411 CHINOOK TRL
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4077
Practice Address - Country:US
Practice Address - Phone:407-808-6059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1841537453OtherNPPES