Individual
SUSAN L. PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC., SARASOTA, FL 34236-7102
(941) 556-3215
(941) 955-8214
Mailing address
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC., SARASOTA, FL 34236-7102
(941) 556-3215
(941) 955-8214
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND01579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND01579
LICENSE
FL
Enumeration date
10/12/2005
Last updated
04/18/2008
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