Provider Demographics
NPI:1831709229
Name:CHUFAR, DENISE K (RDN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:K
Last Name:CHUFAR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 GUN FLINT TRL
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2459
Mailing Address - Country:US
Mailing Address - Phone:813-838-5580
Mailing Address - Fax:
Practice Address - Street 1:2401 GUN FLINT TRL
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-2459
Practice Address - Country:US
Practice Address - Phone:813-838-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered