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Gwen B Enfield, RD, CDE

Dietitian, Registered, Nutrition, Metabolic in Safety Harbor, FL. Individual provider (NPI-1).

NPI number1790728962
StatusActive
Last updated in NPPESMay 21, 2015

Details

NPI
1790728962
Entity type
Individual (NPI-1)
Name
Gwen B Enfield
Credential
RD, CDE
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2006
Last updated
May 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133VN1006X Dietitian, Registered, Nutrition, MetabolicND216FLYes

Practice location

1840 Mease Dr
Suite 410
Safety Harbor, FL 34695-6602

Phone 727-734-6888 · Fax 727-266-4913

Mailing address

Po Box 743409
Atlanta, GA 30374-3409

Phone 727-532-0002 · Fax 727-266-4928

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