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NPI Code Detail

MEDICARE: MRS. PRISCILLA VICTORIA TUFT LSN, CPT

MEDICARE:  MRS. PRISCILLA VICTORIA TUFT  LSN, CPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133NN1002XNutrition Education Nutritionist041014001CA

General Provider Information

NPI Number : 1326215500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PRISCILLA VICTORIA TUFT LSN, CPT
Provider Business Mailing Address
First Line : 12015 WHITMARSH LN
Second Line :
City : TAMPA
State : FL
Zip : 33626-1737
Country : US
Telephone Number : 813-597-0202
Fax Number : 813-855-8362
Provider Business Practice Location Address
First Line : 12015 WHITMARSH LN
Second Line :
City : TAMPA
State : FL
Zip : 33626-1737
Country : US
Telephone Number : 813-597-0202
Fax Number : 813-855-8362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2008
Last Update Date : 05/15/2008

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