MEDICARE: SYNOVIA J SIMONS SMITH RDN

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	ND9208	FL

General Provider Information

NPI Number	:	1174189534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYNOVIA J SIMONS SMITH RDN

Provider Business Mailing Address
First Line	:	PO BOX 1402
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33568-1402
Country	:	US
Telephone Number	:	813-847-9705
Fax Number	:

Provider Business Practice Location Address
First Line	:	10810 BOYETTE RD UNIT 1402
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-8000
Country	:	US
Telephone Number	:	252-267-6580
Fax Number	:

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

Provider Enumeration Date	:	05/11/2019
Last Update Date	:	08/26/2025

Similar Medicare Providers

1568321172 — TOQULADA CHRISTOPHER
Practice Location Address:

10810 BOYETTE RD STE 1952
RIVERVIEW, FL
33569-8000

Practice Phone: 813-270-0218
Practice Fax:

1265819932 — AMBER NANGLE M.S.
Practice Location Address:

10810 BOYETTE RD # 2673
RIVERVIEW, FL
33569-8000

Practice Phone: 813-525-7680
Practice Fax:

1326590670 — AISHA OUTLAW LMHC
Practice Location Address:

10810 BOYETTE RD # 158
RIVERVIEW, FL
33569-8000

Practice Phone: 813-394-6804
Practice Fax:

1912497769 — MR. CHEMAL YSIDRO CRUZ M.A.,LMHC, NCC, CCTP
Practice Location Address:

10810 BOYETTE ROAD , #2563
RIVERVIEW, FL
33569-8000

Practice Phone: 813-803-5950
Practice Fax: 833-233-3084

1699348516 — ENLIGHTEN BEHAVIORAL HEALTHCARE LLC
Practice Location Address:

10810 BOYETTE RD # 3341
RIVERVIEW, FL
33569-8000

Practice Phone: 813-300-2846
Practice Fax:

1144985896 — FARRAH PATRICIA ROBERTS LMHC
Practice Location Address:

10810 BOYETTE RD # 2756
RIVERVIEW, FL
33569-8000

Practice Phone: 813-489-9979
Practice Fax:

Directions to “ SYNOVIA J SIMONS SMITH RDN” 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.