Provider Demographics
NPI:1487313755
Name:BARBOSA, NATALIE CORDEIRO (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:CORDEIRO
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SAGECREST CIR UNIT 7201
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-8662
Mailing Address - Country:US
Mailing Address - Phone:929-231-8599
Mailing Address - Fax:
Practice Address - Street 1:130 SAGECREST CIR UNIT 7201
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-8662
Practice Address - Country:US
Practice Address - Phone:929-231-8599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10850133VN1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics