Provider Demographics
NPI:1730071945
Name:WATKINS, SYDNEY MICHELLE (RDN, LDN)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:MICHELLE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14001 NW 9TH RD
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-8001
Mailing Address - Country:US
Mailing Address - Phone:903-721-7951
Mailing Address - Fax:
Practice Address - Street 1:14001 NW 9TH RD
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-8001
Practice Address - Country:US
Practice Address - Phone:903-721-7951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11043133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered