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Contact Information

TINA M ANDERSON, RD,LDN, MPH, CDE
501 DEL PRADO BLVD S
CAPE CORAL, FL33990-2618
 Phone: 239-424-3120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for TINA M ANDERSON · (Female)

NPI # 1235536293
Status Active
Credentials RD,LDN, MPH, CDE
Entity Individual
Enumeration date 11/19/2014
Last updated 01/27/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ND11044
  • IL License # 164.000203
  • FL Medicaid 125197700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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