Individual
MS. DOLORES FREY PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
4600 N HABANA AVE STE 15, TAMPA, FL 33614-7123
(813) 870-4460
(813) 870-4459
Mailing address
4600 N HABANA AVE STE 15, TAMPA, FL 33614-7123
(813) 870-4460
(813) 870-4459
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2372
FL
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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