| The Dietitians Group Of West Florida, Inc. | |
|
34921 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-1969 | |
| (727) 376-9757 | |
| (727) 245-8670 |
| Full Name | The Dietitians Group Of West Florida, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 34921 Us Highway 19 N Ste 340, Palm Harbor, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295161040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND5272 (Florida) | Primary |
| Provider Name | Cynthia L Witkowski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801065149 PECOS PAC ID: 1951459940 Enrollment ID: I20090430000517 |
| Provider Name | Pamela Jo Roney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891363776 PECOS PAC ID: 1052712544 Enrollment ID: I20210622000243 |
| Provider Name | Shannon Barker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568147700 PECOS PAC ID: 6709245244 Enrollment ID: I20230630003080 |
| Mailing Address | Practice Location Address |
|---|---|
| The Dietitians Group Of West Florida, Inc. 7143 State Road 54 Unit 121, New Port Richey, FL 34653-6104 Ph: (727) 376-9757 | The Dietitians Group Of West Florida, Inc. 34921 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-1969 Ph: (727) 376-9757 |
Kelsey Sanders, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34921 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-376-9757 | |
Marie Graf Ibrahim, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 924 Alt 19, Palm Harbor, FL 34683 Phone: 727-773-7268 | |
Tygue Clausen, MPH, RDN, CPH Dietitian Medicare: Not Enrolled in Medicare Practice Location: 35209 Us 19 N, Palm Harbor, FL 34684 Phone: 727-389-6661 | |
Jaimie Cole, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2019 Shadow Walk, Palm Harbor, FL 34685 Phone: 727-243-7979 | |
Dr. Sheila G. Dean, DSC,RD,LD, CCN,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4808 Jewell Ter, Palm Harbor, FL 34685 Phone: 727-781-4326 | |
Gina D Moss, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1454 Indian Trl S, Palm Harbor, FL 34683 Phone: 727-674-5205 |