Provider Demographics
NPI:1578952040
Name:ALMOG, DALIA STEMPA (MS, RD, LD/N)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:STEMPA
Last Name:ALMOG
Suffix:
Gender:F
Credentials:MS, 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 1:2627 NE 203RD ST STE 113
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1945
Mailing Address - Country:US
Mailing Address - Phone:954-629-5405
Mailing Address - Fax:305-932-3989
Practice Address - Street 1:2627 NE 203RD ST STE 113
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1945
Practice Address - Country:US
Practice Address - Phone:954-629-5405
Practice Address - Fax:305-932-3989
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 6571133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered