Healthcare Provider Details

I. General information

NPI: 1467315093
Provider Name (Legal Business Name): SHANTE CURLINA JEUNE PHD, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12226 CORPORATE BLVD STE 142 #168
ORLANDO FL
32817-8388
US

IV. Provider business mailing address

12226 CORPORATE BLVD STE 142 #168
ORLANDO FL
32817-8388
US

V. Phone/Fax

Practice location:
  • Phone: 407-620-2521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86147786
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: