MEDICARE: TINNA HUYNH MS, RDN, LDN

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
1	133V00000X	Registered Dietitian	ND10480	FL

General Provider Information

NPI Number	:	1396429379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINNA HUYNH MS, RDN, LDN

Provider Business Mailing Address
First Line	:	2819 CAPITAL MEDICAL BLVD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4405
Country	:	US
Telephone Number	:	850-325-4925
Fax Number	:

Provider Business Practice Location Address
First Line	:	2819 CAPITAL MEDICAL BLVD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4405
Country	:	US
Telephone Number	:	850-325-4925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	01/25/2025

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