IndividualActive
Jennifer Mann, MS, RD, CSR
NPI 1669039285 · Renal Nutrition Registered Dietitian · Fort Lauderdale, FL
Provider details
- NPI number
- 1669039285
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSR
- Sex
- Female
- Sole proprietor
- Yes
- License
- ND8305 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Renal Nutrition Registered Dietitian133VN1005X
Dietary & Nutritional Service Providers
Practice location
2630 W Broward Blvd Ste 203
Fort Lauderdale, FL 33312-1315
Phone: (954) 787-2554
Approximate (ZIP-level) locationGet directions
Mailing address
2630 W Broward Blvd Ste 203
Fort Lauderdale, FL 33312-1315
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.