Provider Demographics
NPI:1427728633
Name:ENOGIERU, JUANITA O (RD/N)
Entity type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:O
Last Name:ENOGIERU
Suffix:
Gender:F
Credentials:RD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 SAWGRASS CORPORATE PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2855
Mailing Address - Country:US
Mailing Address - Phone:954-736-6376
Mailing Address - Fax:
Practice Address - Street 1:1560 SAWGRASS CORPORATE PKWY STE 400
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2855
Practice Address - Country:US
Practice Address - Phone:954-736-6376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered