Provider Demographics
NPI:1770685570
Name:DIATRITION INC
Entity Type:Organization
Organization Name:DIATRITION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMELKA
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD/N, CDE
Authorized Official - Phone:352-291-5055
Mailing Address - Street 1:PO BOX 6620
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-6620
Mailing Address - Country:US
Mailing Address - Phone:352-291-5055
Mailing Address - Fax:352-291-5020
Practice Address - Street 1:2102 SW 20TH PL
Practice Address - Street 2:SUITE 202, BLDG 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0861
Practice Address - Country:US
Practice Address - Phone:352-291-5055
Practice Address - Fax:352-291-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7353Medicare ID - Type UnspecifiedGROUP ID