Individual
MRS. DONNA KATHLEEN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612
(813) 972-2000
Mailing address
112 WEST WILDER AVE, TAMPA, FL 33603-2061
(813) 943-3324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3639
FL
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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