MEDICARE: MARCIA SCHULTZ MPH, RD, LDN, CDCES

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	ND8427	FL

General Provider Information

NPI Number	:	1396021390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA SCHULTZ MPH, RD, LDN, CDCES

Provider Business Mailing Address
First Line	:	229 45TH AVE
Second Line	:
City	:	ST PETE BEACH
State	:	FL
Zip	:	33706-2524
Country	:	US
Telephone Number	:	813-460-8792
Fax Number	:

Provider Business Practice Location Address
First Line	:	229 45TH AVE
Second Line	:
City	:	ST PETE BEACH
State	:	FL
Zip	:	33706-2524
Country	:	US
Telephone Number	:	813-460-8792
Fax Number	:

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

Provider Enumeration Date	:	10/24/2011
Last Update Date	:	12/07/2022

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