Provider Demographics
NPI:1699945386
Name:KORITZ, JULIANNE (MS RD LDN CLT)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:KORITZ
Suffix:
Gender:F
Credentials:MS RD LDN CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LINTON BLVD
Mailing Address - Street 2:#304B
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3327
Mailing Address - Country:US
Mailing Address - Phone:561-303-3690
Mailing Address - Fax:561-210-1374
Practice Address - Street 1:100 E LINTON BLVD
Practice Address - Street 2:#304B
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3327
Practice Address - Country:US
Practice Address - Phone:561-303-3690
Practice Address - Fax:561-210-1374
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 5063133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered