Doctor Name: | BRENDA SAWYER NORFLEET |
NPI Number: | 1114038890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D./N. |
License Number: | 0000717 |
Business Practice Address: | 90 Ponce De Leon Blvd Brooksville, FL - 346012816 |
Business Phone Number: | 3527967200 |
Business Fax Number: | 3527966890 |
Mailing Address: | 90 Ponce De Leon Blvd, BROOKSVILLE |
State: | FL |
Postal Code: | 346012816 |
Phone Number: | 3527967200 |
Fax Number: | 3527966890 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 0000717 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |