Provider Demographics
NPI:1801911169
Name:MORRISON NUTRITION PROFESSIONALS
Entity type:Organization
Organization Name:MORRISON NUTRITION PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRICE
Authorized Official - Middle Name:DELPHINE
Authorized Official - Last Name:RITCHIE-MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RD,
Authorized Official - Phone:305-318-8127
Mailing Address - Street 1:1935 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3839
Mailing Address - Country:US
Mailing Address - Phone:305-318-8127
Mailing Address - Fax:305-823-3003
Practice Address - Street 1:1935 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33056-3839
Practice Address - Country:US
Practice Address - Phone:305-318-8127
Practice Address - Fax:305-823-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 4174133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty