Provider Demographics
NPI:1114038890
Name:NORFLEET, BRENDA SAWYER (RD, LD/N)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:SAWYER
Last Name:NORFLEET
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-2816
Mailing Address - Country:US
Mailing Address - Phone:352-796-7200
Mailing Address - Fax:352-796-6890
Practice Address - Street 1:90 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2816
Practice Address - Country:US
Practice Address - Phone:352-796-7200
Practice Address - Fax:352-796-6890
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000717133NN1002X
341482133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered