Provider Demographics
NPI:1508330366
Name:MORANT, BRITNEY M (NDTR)
Entity Type:Individual
Prefix:MS
First Name:BRITNEY
Middle Name:M
Last Name:MORANT
Suffix:
Gender:F
Credentials:NDTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10501 FGCU BLVD S
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33965
Mailing Address - Country:US
Mailing Address - Phone:727-767-0955
Mailing Address - Fax:727-587-0527
Practice Address - Street 1:10501 FGCU BLVD S
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33965
Practice Address - Country:US
Practice Address - Phone:727-545-4545
Practice Address - Fax:727-548-1360
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86013170133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered