| Doctor Name: | SUSAN LYNN BOTTIGLIERI |
| NPI Number: | 1710297452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CSR |
| License Number: | |
| Business Practice Address: | 6641 Current Dr Apollo Beach, FL - 335721544 |
| Business Phone Number: | 5188946569 |
| Business Fax Number: | |
| Mailing Address: | 6641 Current Dr, APOLLO BEACH |
| State: | FL |
| Postal Code: | 335721544 |
| Phone Number: | 5188946569 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2010 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |