Smith, Mara

Smith, Mara is an sole proprietor health care provider with primary practice located at 316 Se Oakridge Dr , Port St Lucie FL 34984-5134. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Smith, Mara can be contacted via phone (561) 693-9323.

Contact Information

Primary practice address
316 Se Oakridge Dr Port St Lucie FL 34984-5134
Phone: (561) 693-9323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X ND10917 Florida
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X ND10917 Florida
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND10917 Florida

Profile Details

NPI number 1992456917
LBN Legal business name Smith, Mara
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2022
Last updated May 26th, 2022 - about 4 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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