Provider Demographics
NPI:1669954137
Name:FOOD CENTERED SOLUTIONS
Entity type:Organization
Organization Name:FOOD CENTERED SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:SIVER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LDN, IFNCP
Authorized Official - Phone:904-562-0082
Mailing Address - Street 1:829 E DOTY BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-5474
Mailing Address - Country:US
Mailing Address - Phone:904-562-0082
Mailing Address - Fax:
Practice Address - Street 1:504 OSCEOLA AVE
Practice Address - Street 2:
Practice Address - City:JAX BCH
Practice Address - State:FL
Practice Address - Zip Code:32250
Practice Address - Country:US
Practice Address - Phone:904-562-0082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7102133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
86029715OtherACADEMY OF NUTRITION AND DIETETICS