Individual
MR. RENDELL LEE SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
502 E MAIN ST, LAKELAND, FL 33801-5014
(334) 538-4130
Mailing address
4263 AUDUBON OAKS CIR APT 203, LAKELAND, FL 33809-5937
(334) 538-4130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86152420
COMMISSION ON DIETETIC REGISTRATION
FL
01
—
9862
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
11/24/2020
Last updated
11/24/2020
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