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Contact Information

DIANE KOPELAKIS, RD LD
7825 NAUTIQUE CT
LAKE WORTH, FL33467-7791
 Phone: 561-436-6617
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Sports Dietetics

133VN1501X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for DIANE KOPELAKIS · (Female)

NPI # 1093420325
Status Active
Credentials RD LD
Entity Individual
Enumeration date 01/20/2023
Last updated 01/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ND3420
  • Other 21000164980 USED LLC DOC # BC HAVE NO OTHER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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