Ellyn Leigh Baltz, RD, LD/N is a
Dietitian, Registered based in Gulfport, Florida. Ellyn Leigh Baltz is licensed to practice in Florida (license number ND4122) and her current practice location is
2601 54th St S, Gulfport, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 322-0470.
NPI number for Ellyn Leigh Baltz is 1104873934 and her current mailing address is 2601 54th St S, Gulfport, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104873934.
Healthcare Provider's Profile
Full Name | Ellyn Leigh Baltz |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2601 54th St S, Gulfport, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104873934
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ellyn Leigh Baltz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104873934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | ND4122 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellyn Leigh Baltz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ellyn Leigh Baltz, RD, LD/N 2601 54th St S, Gulfport, FL 33707-5511 Ph: (727) 322-0470 | Ellyn Leigh Baltz, RD, LD/N 2601 54th St S, Gulfport, FL 33707-5511 Ph: (727) 322-0470 |
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