Provider Demographics
NPI:1568840072
Name:BRAUDE, SONDRA SALINA (RD, LD/N)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:SALINA
Last Name:BRAUDE
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SE 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-4516
Mailing Address - Country:US
Mailing Address - Phone:561-266-8866
Mailing Address - Fax:
Practice Address - Street 1:120 SE 4TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-4516
Practice Address - Country:US
Practice Address - Phone:561-266-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-16
Last Update Date:2015-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND6300133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered