Koorosh Tartibi
Koorosh Tartibi is a Registered Dietitian OR Nutrition Professional in Orlando, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Florida.
- Years since qualifying
- 6
- Licensed in
- FL
- In the registry since
- 2025
Practice location Address checks out
8374 Rothman AlyOrlando, FL 32827-7780
Phone: (407) 353-0408
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 86212038 (FL) |
|---|
Record details
| NPI number | 1033917026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2025 |
| Last updated in NPPES | March 5, 2025 |
| Certification date | March 5, 2025 |
| Mailing address | 8374 Rothman Aly, Orlando, FL 32827-7780 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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