Anderson, Tina Marie
Anderson, Tina Marie is an sole proprietor health care provider with primary practice located at 501 Del Prado Blvd S , Cape Coral FL 33990-2618. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Anderson, Tina Marie can be contacted via phone (239) 424-3120.Contact Information
Primary practice address
501 Del Prado Blvd S
Cape Coral FL 33990-2618
Phone: (239) 424-3120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ND11044 | Florida |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164.000203 | Illinois |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ND11044 | Florida |
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ND11044 | Florida |
Profile Details
NPI number | 1235536293 |
---|---|
LBN Legal business name | Anderson, Tina Marie |
Credentials | RD,LDN, MPH, CDE |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 19th, 2014 |
Last updated | Mar 6th, 2024 - about 9 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235536293 | NPPES |
Florida | MEDICAID | 121494700 |
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