| |
107 N Palm Ave, Indialantic, FL 32903-3131 | |
(321) 327-7948 | |
(321) 327-7914 |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 107 N Palm Ave, Indialantic, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1952623324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | ND 5470 (Florida) | Primary |
Mailing Address | Practice Location Address |
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514 Veracruz Blvd, Indialantic, FL 32903-4728 Ph: (443) 253-3170 | 107 N Palm Ave, Indialantic, FL 32903-3131 Ph: (321) 327-7948 |
Noelle Ann Cohen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 Coral Way E Apt C, Indialantic, FL 32903 Phone: 321-522-7061 | |
Rebekah Jayne Dean, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 116 Jupiter Ct, Indialantic, FL 32903 Phone: 408-410-8275 | |
Susan Darlene Bond, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1890 Bel Ct, Indialantic, FL 32903 Phone: 321-536-1869 |