Provider Demographics
NPI:1265251946
Name:YIP-CROUCH, BELKYS (RDN)
Entity type:Individual
Prefix:MRS
First Name:BELKYS
Middle Name:
Last Name:YIP-CROUCH
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 AMARYLLIS CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8505
Mailing Address - Country:US
Mailing Address - Phone:786-374-8439
Mailing Address - Fax:
Practice Address - Street 1:1200 AMARYLLIS CT
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8505
Practice Address - Country:US
Practice Address - Phone:786-374-8439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9861133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered