SUSAN LYNN BOTTIGLIERI


Address: 6641 Current Dr, Apollo Beach, FL 33572-1544
Phone: 5188946569

SUSAN LYNN BOTTIGLIERI (NPI# 1710297452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710297452
Entity Type Individual
Full Name SUSAN LYNN BOTTIGLIERI
Credential MS, RD, CSR
Practice Address 6641 Current Dr
Apollo Beach
FL 33572-1544
Practice Telephone 5188946569
Mailing Telephone 5188946569
Enumeration Date 2010-10-15
Last Update Date 2016-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
Dietary & Nutritional Service Providers

Office Location

Street Address 6641 CURRENT DR
City APOLLO BEACH
State FL
Zip Code 33572-1544

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1295367001 Carolyne P Cole Marriage & Family Therapist Revolutionary Change Counseling, 300 Frandorson Circle #200, Apollo Beach, FL 33572 2020-02-10
1295380111 Florida Home Care Associates LLC In Home Supportive Care 5948 Frond Way, Apollo Beach, FL 33572 2019-08-07
1386156297 Orthopros Pllc Dentist 423 Apollo Beach Blvd, Apollo Beach, FL 33572 2017-11-01
1588907521 Raymond Eric Major Family Medicine 917 Symphony Isles Bl, Apollo Beach, FL 33572 2013-03-28
1760780399 Sharon Ann Collier Dentist 101 Flamingo Dr., Ste. D Apollo Beach Family Dentistry, Apollo Beach, FL 33572 2011-03-07
1003091380 John R Hayden Chiropractor 100 Frandson Ct., Suite 101, Apollo Beach, FL 33572 2008-01-04
1275541195 William H Smith Massage Therapist 100 Frandorson Circle, Suite 201, Apollo Beach, FL 33572 2006-08-04
1922023639 Theresa Marie Thiele Physician Assistant 201 Flamingo Dr, Apollo Beach, FL 33572 2006-07-13
1912940073 Suzzette Marie Svercek Massage Therapist 813 Chipaway Drive, Apollo Beach, FL 33572 2006-06-14
1457320194 Accupath Plus LLC Clinical Medical Laboratory 5938 Frond Way, Apollo Beach, FL 33572 2006-03-15
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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1588274104 Mary Ellen Bing Dietitian, Registered 32 Iroquois Trl, Ormond Beach, FL 32174-4332 2020-08-07
1114545605 Erika Marie Stahl Dietitian, Registered 651 Jamestown Blvd Apt 2116, Altamonte Springs, FL 32714-4683 2020-07-10
1659905016 Erika Cook Dietitian, Registered 7 Sea Oaks Dr, St Augustine, FL 32080-7914 2020-02-25
1669039285 Jennifer Mann Dietitian, Registered 1647 Island Way, Weston, FL 33326 2019-05-20
1306343850 Annmarie Duggan Dietitian, Registered 18004 Nw 6th St Ste 104, Pembroke Pines, FL 33029-2823 2018-04-11
1245500933 Jeanette Poillucci Dietitian, Registered 3700 Nw 88th Ave, 102, Sunrise, FL 33351-6556 2012-01-11
1609189059 John Dodd Dietitian, Registered 123 Sandcastle Dr, Ormond Beach, FL 32176-4156 2010-07-14
1548588627 Cesiah Rojas Dietitian, Registered 11809 Sw 103rd Ln, Miami, FL 33186-8541 2010-05-13
1992020705 Susan Marie Meese-morris Dietitian, Registered 333 Nw 70th Ave Ste 107, Plantation, FL 33317-2358 2010-04-05
1841426350 Anne Rebecca Hetrick Dietitian, Registered 508 Manatee Ave. East, Kidney Disease Consultants, Bradenton, FL 34208-1146 2009-06-10
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Competitor

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City APOLLO BEACH
Zip Code 33572

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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