Doctor Name: | TABITHA RICHARDS |
NPI Number: | 1285968875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, RD, LD/N |
License Number: | ND5535 |
Business Practice Address: | 18 Lake Vista Way Ormond Beach, FL - 321746785 |
Business Phone Number: | 3866732915 |
Business Fax Number: | |
Mailing Address: | 18 Lake Vista Way, ORMOND BEACH |
State: | FL |
Postal Code: | 321746785 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/29/2009 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND5535 |
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 |