Provider Demographics
NPI:1841716735
Name:CURIOUS MIND NUTRITION
Entity type:Organization
Organization Name:CURIOUS MIND NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:IRIS
Authorized Official - Last Name:CRUZ-JUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-623-4114
Mailing Address - Street 1:801 W BAY DR STE 427
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3223
Mailing Address - Country:US
Mailing Address - Phone:727-623-4114
Mailing Address - Fax:844-605-7637
Practice Address - Street 1:801 W BAY DR STE 427
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3223
Practice Address - Country:US
Practice Address - Phone:727-623-4114
Practice Address - Fax:844-605-7637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty