Shushtari, Colleen Marie

Shushtari, Colleen Marie is an individual health care provider with primary practice located at 10000 Bay Pines Blvd N&Fs 120, Bay Pines FL 33744. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shushtari, Colleen Marie can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Blvd N&Fs 120 Bay Pines FL 33744
Phone: (727) 398-6661
Fax: (727) 398-9503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND418 Florida

Profile Details

NPI number 1407898612
LBN Legal business name Shushtari, Colleen Marie
Credentials R.D.,L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 18th, 2007 - about 18 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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