Individual
LAXMI BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
5016 W CYPRESS ST STE 300, TAMPA, FL 33607-3809
(813) 644-6235
(813) 644-6245
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND6923
FL
133V00000X
Registered Dietitian
ND6923
FL
Other
Enumeration date
11/30/2017
Last updated
06/22/2023
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