Provider Demographics
NPI:1285674895
Name:FRANK, RITA (RDN, LD/N)
Entity Type:Individual
Prefix:MISS
First Name:RITA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:RDN, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3827 NORTHGREEN AVE APT 213
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-3089
Mailing Address - Country:US
Mailing Address - Phone:813-644-4663
Mailing Address - Fax:
Practice Address - Street 1:3827 NORTHGREEN AVE APT 213
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-3089
Practice Address - Country:US
Practice Address - Phone:813-644-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND3643133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered