Healthcare Provider Details

I. General information

NPI: 1366214751
Provider Name (Legal Business Name): MARIA VALENTINA LEMES RD, CSSD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALENTINA SABELLA

II. Dates (important events)

Enumeration Date: 10/27/2023
Last Update Date: 10/28/2023
Certification Date: 10/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10624 REAMS RD
WINDERMERE FL
34786-5714
US

IV. Provider business mailing address

10624 REAMS RD
WINDERMERE FL
34786-5714
US

V. Phone/Fax

Practice location:
  • Phone: 305-781-3861
  • Fax:
Mailing address:
  • Phone: 305-781-3861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License NumberND8594
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND8594
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: