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Organization

XP SPORTS INTERNATIONAL

Active
Other names
Your Diabetes Insider
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN TZEEL MPH, RD, LDN, CSCS (FOUNDER)
(262) 302-6476
Entity
Organization

Contact information

Practice address
1209 E CUMBERLAND AVE UNIT 604, TAMPA, FL 33602-4257
(262) 302-6476
(813) 491-1464
Mailing address
15319 WIND WHISPER DR, ODESSA, FL 33556-1794

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86153304
ACADEMY OF NUTRITION AND DIETETICS
FL
01
ND-9009
FLORIDA LICENSED DIETITIAN
FL
Enumeration date
01/21/2020
Last updated
03/09/2022
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