Individual
KOOROSH TARTIBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8374 ROTHMAN ALY, ORLANDO, FL 32827-7780
(407) 353-0408
Mailing address
8374 ROTHMAN ALY, ORLANDO, FL 32827-7780
(407) 353-0408
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86212038
FL
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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