Individual
FABIOLA D GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
2009 W CENTRAL BLVD, ORLANDO, FL 32805-2124
(407) 872-1333
(407) 872-7135
Mailing address
1525 REDWOOD GROVE TER, LAKE MARY, FL 32746-4441
(407) 833-8503
(407) 872-7135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000987
FL
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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