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NPI Code Detail

MEDICARE: SOPHIA MARIE ROSSELL RDN, LD

MEDICARE:   SOPHIA MARIE ROSSELL  RDN, LD
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
1133V00000XRegistered DietitianND12283FL

General Provider Information

NPI Number : 1902683428
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA MARIE ROSSELL RDN, LD
Provider Business Mailing Address
First Line : 9172 LOCKWOOD HILL RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-2318
Country : US
Telephone Number : 513-388-1583
Fax Number :
Provider Business Practice Location Address
First Line : 2919 W SWANN AVE STE 301
Second Line :
City : TAMPA
State : FL
Zip : 33609-4051
Country : US
Telephone Number : 813-877-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 10/01/2025

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Directions to “ SOPHIA MARIE ROSSELL RDN, LD” Practice Location

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