Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danielle Marie Broussard, DO, RDN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619493277

Danielle Marie Broussard, DO, RDN is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone: (813) 972-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Registered Dietitian Taxonomy 133V00000X · Licence 86071065 (WI)

Record details

NPI number1619493277
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO , RDN
Sole proprietorNo
NPI enumeratedAugust 16, 2017
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address17 Davis Blvd Ste 308, Tampa, FL 33606-3438

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