Individual
COLLEEN MARIE SHUSHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
10000 BAY PINES BLVD, N&FS 120, BAY PINES, FL 33744
(727) 398-6661
(727) 398-9503
Mailing address
10000 BAY PINES BLVD, N&FS 120, BAY PINES, FL 33744
(727) 398-6661
(727) 398-9503
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND418
FL
Other
Enumeration date
06/12/2006
Last updated
07/18/2007
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