Individual
MRS. KRISTIN ELAINE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 5TH FLOOR, TAMPA, FL 33606-3603
(813) 259-8842
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5893
FL
133VN1006X
Metabolic Nutrition Registered Dietitian
ND5893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JC3V3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/08/2016
Last updated
06/10/2016
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