Individual
MRS. ANITA RAE CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-2418
(407) 649-3187
Mailing address
92 W MILLER ST, MP 317, ORLANDO, FL 32806-2032
(321) 841-2418
(407) 649-3187
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND5649
FL
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
ND5649
FL
Other
Enumeration date
11/21/2012
Last updated
06/04/2019
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