Provider Demographics
NPI:1922472893
Name:DIETS BY DANI, LLC
Entity Type:Organization
Organization Name:DIETS BY DANI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:MARKS
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:305-504-3183
Mailing Address - Street 1:6061 COLLINS AVE
Mailing Address - Street 2:APT. 15D
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2210
Mailing Address - Country:US
Mailing Address - Phone:305-504-3183
Mailing Address - Fax:
Practice Address - Street 1:6061 COLLINS AVE
Practice Address - Street 2:APT. 15D
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2210
Practice Address - Country:US
Practice Address - Phone:305-504-3183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND7535133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty