Doctor Name: | GAYLE BRAZZI SMITH |
NPI Number: | 1144569815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D., L.D./N. |
License Number: | ND1144 |
Business Practice Address: | 1414 Kuhl Ave Ormc Clinical Nutrition Mp#11 Orlando, FL - 328062008 |
Business Phone Number: | 3218418362 |
Business Fax Number: | 4076496866 |
Mailing Address: | 1414 Kuhl Ave, Ormc Clinical Nutrition Mp#11 ORLANDO |
State: | FL |
Postal Code: | 328062008 |
Phone Number: | 3218418362 |
Fax Number: | 4076496866 |
NPI Enumeration Date: | 01/31/2013 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND1144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |