| Elizabeth Villalta, | |
|
302 W Fletcher Ave, Tampa, FL 33612-3415 | |
| (813) 397-5300 | |
| (813) 549-7855 |
| Full Name | Elizabeth Villalta |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 302 W Fletcher Ave, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437530193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L003299 (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | ND10491 (Florida) | Primary |
| Provider Name | Duke University Health System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376574798 PECOS PAC ID: 2567372345 Enrollment ID: O20031126000274 |
| Provider Name | Duke University Health System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
| Provider Name | Rtp Healthy Wellness Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699029074 PECOS PAC ID: 0840588067 Enrollment ID: O20161004001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Villalta, Po Box 82969, Tampa, FL 33682-2969 Ph: (813) 866-0930 | Elizabeth Villalta, 302 W Fletcher Ave, Tampa, FL 33612-3415 Ph: (813) 397-5300 |
Sara Elizabeth Udani, PA-C Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396 | |
Islena Luceth Keyes, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Mrs. Kerry Anne Hensel, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Jane Norman, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 12901 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-974-2201 | |
Corina Clavo Mclamore, MPH, RDN, LD/N, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 13330 Usf Laurel Dr, Diabetes Center, Tampa, FL 33612 Phone: 813-974-2201 | |
Ashley N Tweddle, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2410 W Azeele St Unit 217, Tampa, FL 33609 Phone: 404-889-5267 | |
Gina Skaronea, RD, LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2605 W Swann Ave, Suite 100, Tampa, FL 33609 Phone: 813-874-5500 |