MEDICARE: ISABEL A QUIJANO RD, LD/N

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	5580	FL
2	133V00000X	Registered Dietitian	164.012412	IL
3	133V00000X	Registered Dietitian	DT92460	TX

General Provider Information

NPI Number	:	1083846158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL A QUIJANO RD, LD/N

Provider Business Mailing Address
First Line	:	19172 LONG LAKE RANCH BLVD
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-5508
Country	:	US
Telephone Number	:	727-271-8536
Fax Number	:

Provider Business Practice Location Address
First Line	:	19172 LONG LAKE RANCH BLVD
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-5508
Country	:	US
Telephone Number	:	727-271-0665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2009
Last Update Date	:	01/07/2026

Similar Medicare Providers

1396624854 — GBG NUTRITION LLC
Practice Location Address:

19172 LONG LAKE RANCH BLVD
LUTZ, FL
33558-5508

Practice Phone: 727-271-0665
Practice Fax:

1295066231 — DR. CAROLINA ELIZABETH MENDIETA DDS
Practice Location Address:

5306 VAN DYKE RD
LUTZ, FL
33558-4829

Practice Phone: 813-797-6053
Practice Fax:

1508755851 — VISITING SENIORS OF MY FLORIDA HOME HEALTH LLC
Practice Location Address:

1909 PARTERRE AVE
LUTZ, FL
33558-4409

Practice Phone: 813-525-5090
Practice Fax:

1538027545 — JADA GRIFFIN
Practice Location Address:

17815 HUNTING BOW CIR
LUTZ, FL
33558-5401

Practice Phone: 813-491-4425
Practice Fax:

1356344246 — DR. BILL E BARRY MD
Practice Location Address:

4211 VANDYKE ROAD , SUITE 200
LUTZ, FL
33558-8004

Practice Phone: 813-264-6490
Practice Fax: 813-321-1878

1730182312 — DR. JOSE ENRIQUE COLON M.D.
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-968-7282

Directions to “ ISABEL A QUIJANO RD, LD/N” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.