Healthcare Provider Details

I. General information

NPI: 1124808084
Provider Name (Legal Business Name): JULIANA T GREBING RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4127 GREEN TREE AVE
SARASOTA FL
34233-4056
US

IV. Provider business mailing address

4127 GREEN TREE AVE
SARASOTA FL
34233-4056
US

V. Phone/Fax

Practice location:
  • Phone: 941-328-2903
  • Fax:
Mailing address:
  • Phone: 941-328-2903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number12505
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: