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Individual

ANN MARIE SPICOCCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD.,CSO.,LD/N

Contact information

Practice address
12902 USF MAGNOLIA DR, MOD-C NUTHER, TAMPA, FL 33612-9416
(813) 745-1141
(813) 449-8484
Mailing address
1301 S HOWARD AVE APT B8, TAMPA, FL 33606-3143
(813) 277-8112

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5248
FL

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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