Provider Demographics
NPI:1821568692
Name:TZEEL, BENJAMIN AARON (MPH, RD, LDN, CSCS)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:AARON
Last Name:TZEEL
Suffix:
Gender:M
Credentials:MPH, RD, LDN, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 E CUMBERLAND AVE UNIT 604
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4257
Mailing Address - Country:US
Mailing Address - Phone:262-302-6476
Mailing Address - Fax:813-491-1464
Practice Address - Street 1:1209 E CUMBERLAND AVE UNIT 604
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4257
Practice Address - Country:US
Practice Address - Phone:813-649-3081
Practice Address - Fax:813-491-1464
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9009133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered