Provider Demographics
NPI:1104685338
Name:SARASOTA NUTRITION CENTER LLC
Entity type:Organization
Organization Name:SARASOTA NUTRITION CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:TOLEDO
Authorized Official - Last Name:GREBING
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:941-328-2903
Mailing Address - Street 1:4127 GREEN TREE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-4056
Mailing Address - Country:US
Mailing Address - Phone:941-328-2903
Mailing Address - Fax:
Practice Address - Street 1:4127 GREEN TREE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-4056
Practice Address - Country:US
Practice Address - Phone:941-328-2903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty