MEDICARE: THE INCLUSIVE DIETITIAN

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

General Provider Information

NPI Number	:	1114856770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE INCLUSIVE DIETITIAN

Provider Business Mailing Address
First Line	:	1802 E 3RD AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-5208
Country	:	US
Telephone Number	:	813-563-7737
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 E 3RD AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-5208
Country	:	US
Telephone Number	:	813-563-7737
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	SAMANTHA TOFFOLI
Credential	:	MS, RDN
Telephone Number	:	813-563-7737

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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