Individual
TEMPLE GENE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1100 48TH AVE N, ST PETERSBURG, FL 33703-3636
(601) 447-1262
Mailing address
1100 48TH AVE N, ST PETERSBURG, FL 33703-3636
(601) 447-1262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND8833
FLORIDA LICENSURE FOR DIETITIANS
FL
Enumeration date
04/16/2019
Last updated
04/16/2019
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