MEDICARE: CONSULTANT DIETITIANS OF FORT MYERS INC

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	:	1609350776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSULTANT DIETITIANS OF FORT MYERS INC

Provider Business Mailing Address
First Line	:	15046 BALMORAL LOOP
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-2182
Country	:	US
Telephone Number	:	239-281-4908
Fax Number	:

Provider Business Practice Location Address
First Line	:	5285 SUMMERLIN RD STE 101
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-7601
Country	:	US
Telephone Number	:	239-281-4908
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHARON LOUISE FRANCO
Credential	:	REGISTERED DIETITIAN
Telephone Number	:	239-281-4908

Provider Enumeration Date	:	09/24/2018
Last Update Date	:	01/30/2026

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