Individual
SHAILA PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
2615 BLACK LAKE BLVD, WINTER GARDEN, FL 34787-4757
(407) 654-6677
Mailing address
2615 BLACK LAKE BLVD, WINTER GARDEN, FL 34787-4757
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 745
FL
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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