Healthcare Provider Details

I. General information

NPI: 1326924713
Provider Name (Legal Business Name): CORRINA SAENZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4449 PETAL DR UNIT 108
NAPLES FL
34112-6351
US

IV. Provider business mailing address

4449 PETAL DR UNIT 108
NAPLES FL
34112-6351
US

V. Phone/Fax

Practice location:
  • Phone: 786-909-0282
  • Fax:
Mailing address:
  • Phone: 786-909-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number12178
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: