Provider Demographics
NPI:1972116705
Name:JODI WARSHAFSKY, LLC
Entity type:Organization
Organization Name:JODI WARSHAFSKY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:WARSHAFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-684-4249
Mailing Address - Street 1:20423 STATE ROAD 7 STE F6-222
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6797
Mailing Address - Country:US
Mailing Address - Phone:305-684-4249
Mailing Address - Fax:
Practice Address - Street 1:13936 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2908
Practice Address - Country:US
Practice Address - Phone:786-204-0730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty