Individual
MRS. HEATHER BORDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD, LD/N
Contact information
Practice address
3026 CENTRAL AVENUE, PMB 102, SAINT PETERSBURG, FL 33712
(904) 250-0910
Mailing address
3026 CENTRAL AVENUE, PMB 102, SAINT PETERSBURG, FL 33712
(904) 250-0910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10248537
OR
133V00000X
Registered Dietitian
DT88345
TX
133V00000X
Registered Dietitian
L007660
NC
133V00000X
Registered Dietitian
Primary
ND7871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND7871
FLORIDA LICENSURE
FL
Enumeration date
07/01/2016
Last updated
12/31/2024
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