Provider Demographics
NPI:1548852619
Name:SANDERS, HALEIGH (RD)
Entity type:Individual
Prefix:MRS
First Name:HALEIGH
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 JOHN KNOX RD BLDG T
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-4113
Mailing Address - Country:US
Mailing Address - Phone:850-629-9390
Mailing Address - Fax:888-613-5716
Practice Address - Street 1:325 JOHN KNOX RD BLDG T
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-4113
Practice Address - Country:US
Practice Address - Phone:850-629-9390
Practice Address - Fax:888-613-5716
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND8860133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered