Provider Demographics
NPI:1295361756
Name:TURNING TIDES INC
Entity Type:Organization
Organization Name:TURNING TIDES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FUNCTIONAL CERTIFIED NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DCN
Authorized Official - Phone:843-864-5018
Mailing Address - Street 1:4803 MANGROVE POINT RD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-2128
Mailing Address - Country:US
Mailing Address - Phone:843-864-5018
Mailing Address - Fax:
Practice Address - Street 1:4803 MANGROVE POINT RD
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-2128
Practice Address - Country:US
Practice Address - Phone:843-864-5018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty