Organization
BAY AREA NUTRITION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A GRUBB (ADMINISTRATOR)
(813) 977-5557
Entity
Organization
Contact information
Practice address
3000 E FLETCHER AVE, SUITE 350, TAMPA, FL 33613-4656
(813) 977-5557
(813) 972-9211
Mailing address
5041 WESLEY DR, TAMPA, FL 33647-1376
(813) 363-3555
(813) 972-9211
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
ND3503
FL
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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