Individual
EMMANUEL BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
5401 S LOIS AVE, TAMPA, FL 33611-3549
(203) 843-5240
Mailing address
5401 S LOIS AVE, TAMPA, FL 33611-3549
(203) 843-5240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10513
FL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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