Individual
TYGUE CLAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, RDN, CPH
Contact information
Practice address
35209 US 19 N, PALM HARBOR, FL 34684-1908
(727) 389-6661
Mailing address
10229 VILLA PALAZZO CT, TAMPA, FL 33615-3098
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86152557
VETERANS AFFAIR
FL
Enumeration date
07/10/2021
Last updated
07/10/2021
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