| Xp Sports International | |
|
1209 E Cumberland Ave Unit 604, Tampa, FL 33602-4257 | |
| (262) 302-6476 | |
| (813) 491-1464 |
| Full Name | Xp Sports International |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1209 E Cumberland Ave Unit 604, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336779123 | NPI | - | NPPES |
| 86153304 | Other | FL | ACADEMY OF NUTRITION AND DIETETICS |
| ND-9009 | Other | FL | FLORIDA LICENSED DIETITIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Benjamin Aaron Tzeel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821568692 PECOS PAC ID: 6103256649 Enrollment ID: I20200423001834 |
| Mailing Address | Practice Location Address |
|---|---|
| Xp Sports International 15319 Wind Whisper Dr, Odessa, FL 33556-1794 Ph: () - | Xp Sports International 1209 E Cumberland Ave Unit 604, Tampa, FL 33602-4257 Ph: (262) 302-6476 |
Islena Luceth Keyes, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Mariel Sarah Gossett, MS, RDN, LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15701 Country Lake Dr, Tampa, FL 33624 Phone: 334-758-8610 | |
Mrs. Kerry Anne Hensel, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Jane Norman, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 12901 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-974-2201 | |
Corina Clavo Mclamore, MPH, RDN, LD/N, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 13330 Usf Laurel Dr, Diabetes Center, Tampa, FL 33612 Phone: 813-974-2201 | |
Ashley N Tweddle, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5432 W Tyson Ave Unit 1210, Tampa, FL 33611 Phone: 404-889-5267 | |
Gina Skaronea, RD, LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2605 W Swann Ave, Suite 100, Tampa, FL 33609 Phone: 813-874-5500 |