Provider Demographics
NPI:1528254679
Name:NUTRITION ADDICTION INC
Entity type:Organization
Organization Name:NUTRITION ADDICTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LD/N
Authorized Official - Phone:305-298-4422
Mailing Address - Street 1:12966 SW 135TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7022
Mailing Address - Country:US
Mailing Address - Phone:305-298-4422
Mailing Address - Fax:
Practice Address - Street 1:12966 SW 135TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7022
Practice Address - Country:US
Practice Address - Phone:305-298-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-22
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4294133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty