Provider Demographics
NPI:1215627187
Name:VOIGTS, AUBREY (MS,RD,LD)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:VOIGTS
Suffix:
Gender:M
Credentials:MS,RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-3510
Mailing Address - Country:US
Mailing Address - Phone:815-510-8380
Mailing Address - Fax:
Practice Address - Street 1:909 E 7TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3510
Practice Address - Country:US
Practice Address - Phone:815-510-8380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9434133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered