Provider Demographics
NPI:1669747614
Name:S & S BRITTNER NUTRITION COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:S & S BRITTNER NUTRITION COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DEBRA
Authorized Official - Last Name:BRITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:RD,LD
Authorized Official - Phone:352-799-2498
Mailing Address - Street 1:11799 FAIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9239
Mailing Address - Country:US
Mailing Address - Phone:352-799-2498
Mailing Address - Fax:352-593-4519
Practice Address - Street 1:11799 FAIRFIELD CT
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-9239
Practice Address - Country:US
Practice Address - Phone:352-799-2498
Practice Address - Fax:352-593-4519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4657133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1174531974OtherINDIVIDUAL NPI NUMBER