Provider Demographics
NPI:1881416329
Name:GREENBERG, RIKA M (RD)
Entity type:Individual
Prefix:
First Name:RIKA
Middle Name:M
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18483 OLD PRINCETON LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6393
Mailing Address - Country:US
Mailing Address - Phone:954-829-3928
Mailing Address - Fax:
Practice Address - Street 1:18483 OLD PRINCETON LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6393
Practice Address - Country:US
Practice Address - Phone:954-829-3928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4646133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered