MEDICARE: BRANDI HEATH RD, RDN

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	86007600	FL

General Provider Information

NPI Number	:	1720920952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI HEATH RD, RDN

Provider Business Mailing Address
First Line	:	6203 S RUSSELL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-4752
Country	:	US
Telephone Number	:	727-687-5381
Fax Number	:	727-687-5381

Provider Business Practice Location Address
First Line	:	6203 S RUSSELL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-4752
Country	:	US
Telephone Number	:	727-687-5381
Fax Number	:	727-687-5381

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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