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Individual

ELIZABETH VILLALTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(813) 397-5300
(813) 549-7855
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L003299
NC
133V00000X
Registered Dietitian
Primary
ND10491
FL

Other

Enumeration date
06/17/2015
Last updated
05/08/2023
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