Provider Demographics
NPI:1477653400
Name:MAHLMEISTER, BARBARA M (NUTRITIONALIST)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:MAHLMEISTER
Suffix:
Gender:F
Credentials:NUTRITIONALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4114 PINELAKE LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-8656
Mailing Address - Country:US
Mailing Address - Phone:813-495-2719
Mailing Address - Fax:813-960-0802
Practice Address - Street 1:4114 PINELAKE LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-8656
Practice Address - Country:US
Practice Address - Phone:813-495-2719
Practice Address - Fax:813-960-0802
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 4668133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist