Provider Demographics
NPI:1770324857
Name:BARROSO, ARANTZA (RDN/LDN)
Entity type:Individual
Prefix:
First Name:ARANTZA
Middle Name:
Last Name:BARROSO
Suffix:
Gender:F
Credentials:RDN/LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 SW 139TH ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33158-1253
Mailing Address - Country:US
Mailing Address - Phone:305-951-5676
Mailing Address - Fax:
Practice Address - Street 1:7525 SW 139TH ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33158-1253
Practice Address - Country:US
Practice Address - Phone:305-951-5676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86291594133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered