Individual
ROSSIE E BONEFONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD,LND
Contact information
Practice address
2285 S SEMORAN BLVD, ORLANDO, FL 32822-2703
(407) 282-8200
(407) 728-2801
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7105
(407) 770-0594
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
5178
FL
133N00000X
Nutritionist
818
PR
133V00000X
Registered Dietitian
Primary
706357
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706357
DIETICIAN CERTIFICATE
FL
01
—
ND5178
NUTRICIONIST LICENSE
FL
Enumeration date
01/22/2009
Last updated
02/13/2013
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