Provider Demographics
NPI:1417360892
Name:SINNETT, STEPHANIE (RD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SINNETT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8168 BOAT HOOK LOOP UNIT 708
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5550
Mailing Address - Country:US
Mailing Address - Phone:407-304-8292
Mailing Address - Fax:
Practice Address - Street 1:215 CELEBRATION PL
Practice Address - Street 2:SUITE 300
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5400
Practice Address - Country:US
Practice Address - Phone:321-939-2394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND5546133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered