Provider Demographics
NPI:1790467264
Name:DRAGONE, DANA (RDN, LDN, DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:DRAGONE
Suffix:
Gender:F
Credentials:RDN, LDN, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3250
Mailing Address - Country:US
Mailing Address - Phone:631-445-2074
Mailing Address - Fax:
Practice Address - Street 1:1005 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3250
Practice Address - Country:US
Practice Address - Phone:631-445-2074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND12323133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered