Kopelakis, Diane

Kopelakis, Diane is an individual health care provider with primary practice located at 7825 Nautique Ct , Lake Worth FL 33467-7791. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Kopelakis, Diane can be contacted via phone (561) 436-6617.

Contact Information

Primary practice address
7825 Nautique Ct Lake Worth FL 33467-7791
Phone: (561) 436-6617
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND3420 Florida
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X ND3420 Florida
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ND3420 Florida
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X ND3420 Florida

Profile Details

NPI number 1093420325
LBN Legal business name Kopelakis, Diane
Credentials RD LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2023
Last updated Jan 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093420325 NPPES
Other 21000164980 USED LLC DOC # BC HAVE NO OTHER #

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