Individual
RACHEL MOORE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
5145 S DALE MABRY HWY UNIT 20412, TAMPA, FL 33611-3677
(803) 201-4779
Mailing address
5145 S DALE MABRY HWY UNIT 20412, TAMPA, FL 33611-3677
(803) 201-4779
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86084369
COMMISSION ON DIETETIC REGISTRATION
—
01
—
ND9524
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
11/08/2020
Last updated
11/08/2020
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