Individual
WILLIAM SAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12464 INDIAN ROCKS RD, LARGO, FL 33774-3005
(727) 722-8104
Mailing address
5514 12TH AVE S, GULFPORT, FL 33707-3405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND4815
STATE LICENSE
FL
Enumeration date
08/07/2017
Last updated
06/11/2019
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