Provider Demographics
NPI:1043019649
Name:KORPICS, NORMA LILIAN (RD LDN)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:LILIAN
Last Name:KORPICS
Suffix:
Gender:
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 VICTORIA POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1301
Mailing Address - Country:US
Mailing Address - Phone:305-804-0695
Mailing Address - Fax:
Practice Address - Street 1:1606 VICTORIA POINTE CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1301
Practice Address - Country:US
Practice Address - Phone:305-804-0695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND14112133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered