Doctor Name: | RENEE LYNN BOSTAIN |
NPI Number: | 1578981015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | ND 5622 |
Business Practice Address: | 2501 N Orange Ave Ste 509 Orlando, FL - 328044674 |
Business Phone Number: | 4073039840 |
Business Fax Number: | 4073031573 |
Mailing Address: | 2501 N Orange Ave Ste 509, ORLANDO |
State: | FL |
Postal Code: | 328044674 |
Phone Number: | 4073039840 |
Fax Number: | 4073031573 |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND 5622 |
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 |