Individual
STEPHANIE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1725 BUCHANAN ST, PANAMA CITY, FL 32409-1482
(647) 326-9596
Mailing address
1725 BUCHANAN ST, PANAMA CITY, FL 32409-1482
(647) 326-9596
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
10263
FL
Other
Enumeration date
09/07/2020
Last updated
08/07/2025
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