Healthcare Provider Details

I. General information

NPI: 1306769823
Provider Name (Legal Business Name): LINYI ZHANG MS, RD, LD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2981 ANGELONIA THORN WAY
CLERMONT FL
34711-9519
US

IV. Provider business mailing address

2981 ANGELONIA THORN WAY
CLERMONT FL
34711-9519
US

V. Phone/Fax

Practice location:
  • Phone: 612-806-8366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND14961
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: