Provider Demographics
NPI:1215245519
Name:ANOPOL, FLORINA MORABE (RD,CSP,CNSC,CDE)
Entity type:Individual
Prefix:MRS
First Name:FLORINA
Middle Name:MORABE
Last Name:ANOPOL
Suffix:
Gender:F
Credentials:RD,CSP,CNSC,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20708 STAGG ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-2044
Mailing Address - Country:US
Mailing Address - Phone:818-347-1819
Mailing Address - Fax:
Practice Address - Street 1:20708 STAGG ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-2044
Practice Address - Country:US
Practice Address - Phone:818-347-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL835355133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric