MEDICARE: BRITTANY KAY RD

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	ND10473	FL

General Provider Information

NPI Number	:	1942171251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY KAY RD

Provider Business Mailing Address
First Line	:	2304 E 10TH AVE UNIT A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-4027
Country	:	US
Telephone Number	:	989-817-2871
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 E 10TH AVE UNIT A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-4027
Country	:	US
Telephone Number	:	989-817-2871
Fax Number	:

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

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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Directions to “ BRITTANY KAY RD” Practice Location

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