Provider Demographics
NPI:1124981261
Name:SHIELDS, JULIANA (RD)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:SHIELDS
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 1:2110 SWEETBROOM CIR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-8704
Mailing Address - Country:US
Mailing Address - Phone:267-994-5405
Mailing Address - Fax:
Practice Address - Street 1:2110 SWEETBROOM CIR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-8704
Practice Address - Country:US
Practice Address - Phone:267-994-5405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered