Brandy Lynn Winfree Root, RDN, CSR, LDN | |
410 Emerald Pointe Dr, Mary Esther, FL 32569-2767 | |
(318) 210-6429 | |
Not Available |
Full Name | Brandy Lynn Winfree Root |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Renal |
Location | 410 Emerald Pointe Dr, Mary Esther, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477265981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133VN1005X | Dietitian, Registered - Nutrition, Renal | ND10904 (Florida) | Primary |
Provider Name | Florida Kidney Physicians Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760831564 PECOS PAC ID: 4385925650 Enrollment ID: O20161228000460 |
Provider Name | Brandy Winfree, Rdn, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902687361 PECOS PAC ID: 1759731755 Enrollment ID: O20240102004000 |
Mailing Address | Practice Location Address |
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Brandy Lynn Winfree Root, RDN, CSR, LDN 410 Emerald Pointe Dr, Mary Esther, FL 32569-2767 Ph: (318) 210-6429 | Brandy Lynn Winfree Root, RDN, CSR, LDN 410 Emerald Pointe Dr, Mary Esther, FL 32569-2767 Ph: (318) 210-6429 |
Kaitlyn Eigenbrode, RD,LDN Dietitian Medicare: Medicare Enrolled Practice Location: 530 E Timberlake Dr, Mary Esther, FL 32569 Phone: 717-398-7001 | |
Brandy Winfree, Rdn, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 410 Emerald Pointe Dr, Mary Esther, FL 32569 Phone: 318-210-6429 |