Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA A CLARK, RDN/LDN, CSP
ActivePediatric Nutrition · ORLANDO, FL
Registration Details
- NPI Number
- 1013882174
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2025 (0.55391766214495 yrs)
- Last Updated
- Oct 8, 2025
- License
-
10481 (FL)
Practice Information
- Address
-
615 E PRINCETON ST STE 104ORLANDO, FL, 328031435Browse FL providers · Browse ZIP 32803
- Phone
- 4073036920
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in ORLANDO, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. ANITA RAE CHILDERS | RD | 1336483841 |
| AIMEE MOLINEAUX | RD | 1619394384 |
| TAMARA SIMS-DORWAY | RD | 1538567821 |
| KAITLYN HORINKO | RD | 1023406295 |
| MARISSA CULVER | RD | 1689049488 |
| ALEXANDRIA ENG | RDN, CSP, LDN, CNSC | 1588148696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.