Provider Demographics
NPI:1407587322
Name:VICTOR, AURORE Y (JD, MPH, RDN, LDN)
Entity Type:Individual
Prefix:MS
First Name:AURORE
Middle Name:Y
Last Name:VICTOR
Suffix:
Gender:F
Credentials:JD, MPH, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12910 SW 109TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-5417
Mailing Address - Country:US
Mailing Address - Phone:305-479-0943
Mailing Address - Fax:
Practice Address - Street 1:12910 SW 109TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-5417
Practice Address - Country:US
Practice Address - Phone:305-479-0943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10259133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered