MEDICARE: ELIZABETH CAITLIN PIUROWSKI 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	ND8109	FL

General Provider Information

NPI Number	:	1750848743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CAITLIN PIUROWSKI RD LD/N

Provider Business Mailing Address
First Line	:	508 S HABANA AVE STE 160
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4190
Country	:	US
Telephone Number	:	813-877-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 S HABANA AVE STE 160
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4190
Country	:	US
Telephone Number	:	813-877-6000
Fax Number	:

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

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	01/04/2022

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