Provider Demographics
NPI:1417714981
Name:ZEOLI FAMILY NUTRITION CONSULTING LLC
Entity Type:Organization
Organization Name:ZEOLI FAMILY NUTRITION CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZEOLI
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:803-526-7562
Mailing Address - Street 1:3540 TORINGDON WAY STE 200
Mailing Address - Street 2:UNIT 5011
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4650
Mailing Address - Country:US
Mailing Address - Phone:803-526-7562
Mailing Address - Fax:
Practice Address - Street 1:3540 TORINGDON WAY STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4650
Practice Address - Country:US
Practice Address - Phone:803-526-7562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty